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COMPLIANCE INFO_2020
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2300 - Underground Storage Tank Program
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PR0231002
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
12/10/2020 4:02:52 PM
Creation date
5/14/2020 3:51:02 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0231002
PE
2361
FACILITY_ID
FA0002864
FACILITY_NAME
DAMERON HOSPITAL
STREET_NUMBER
525
Direction
W
STREET_NAME
ACACIA
STREET_TYPE
ST
City
STOCKTON
Zip
95203
APN
13715304
CURRENT_STATUS
01
SITE_LOCATION
525 W ACACIA ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\gmartinez
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EHD - Public
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UNDERGROUNDSTORAGETANK <br /> MONITORING SYSTEM CERTIFICATION FORM ( Page 6 of 6) <br /> XVI . MONITORING SITE PLAN <br /> Date site map was prepared : <br /> If you already have a site plan that shows all required information, you may include it, rather than this page, with your Monitoring System <br /> Certification Form. The site plan must show the general layout of tanks and piping and clearly identify locations of the following equipment, <br /> if installed: 1) monitoring system control panels; 2) in-tank liquid level probes (if used for leak detection); 3) devices monitoring tank <br /> annular spaces or vault; 4) devices monitoring product piping; 5) devices monitoring fill piping; 6) devices monitoring vent piping; 7) devices <br /> monitoring vapor recovery piping; 8) devices monitoring vent/transition sumps; 9) devices monitoring under-dispenser containment,- 10) <br /> line leak detectors; and 11) devices monitoring any other secondary containment areas, <br /> monitonn m S steeertirlcatlon usT monitoringSite Plan <br /> SheAddress__ D,"fERON HOSPIT.0 525 ACACL4STOCKTON CA 95203 1 LB ( z020 <br /> BO. tE)AUIT LEVEL MONITOR is:02 .,,�. <br /> ENVIRONMENTAL ` i � ALf <br /> - - PAEC HANi]' S Fi001A <br /> DIESEL LINE. <br /> _ . - _ _ <br /> . - - OR]P OFF ENTRY <br /> OIt . . . . . . <br /> - PUMP a PIPIrlo <br /> FILL <br /> A = APL\ZTLAR <br /> PARKING Mj,-,,,. F= FILLS <br /> _ .�+PII31vc + - - _ . _ TTURBINE <br /> - - - - - - _ - - - - - - = rrE <br /> P = PROBE. <br /> {ARRIOR53 4 =FAPOR <br /> Ll a.= IL �' t tti Xss 31 1PSENSOR <br /> � L = Lank Detector <br /> LDCs. NoAt = IN fan tcay <br /> i ndrwad B = Brine Senior <br /> dtaccfrL u <br /> ' I = Stuart Senior <br /> 5 = STP <br /> C = Float & Chains <br /> ACACIA TREET <br /> Atly itemr uruiasQ••ourah tzar ani )rot viiiMa to the cerij!ying tschricimt area <br /> profs tiortal ovilron only and ara solebvfor irtrarmarinnafpu)poses. frrp <br /> not to Praha <br /> Date map was draNn: 211311: 9 <br /> In4tfuotions <br /> If you alresdy have a diagram that shows au required 'nforreation you may include it rather than this page, with your Monitoring System C=_rSfcaton. On ycoir site plan, <br /> shcwthe general laycut of tanks and piping. Clearly iientiff IocatTons of the folloNmg equipment. if instilled monitoring system ecntrol panels; _snsors montoring tank <br /> annular spaces, sumps , dispenser pans, spill rnntainers, or other secondary contazrmentar=-as mnechtnica". or electronic line leak detactors; and in-tank liqud level <br /> probes (if used fcr leak detection). In the space provieed, nate the data this Site Plan was prepared. <br /> LEGEND <br /> Draw <br />
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