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COMPLIANCE INFO_2002-2009
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231069
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COMPLIANCE INFO_2002-2009
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Last modified
2/27/2023 4:51:25 PM
Creation date
6/3/2020 9:44:40 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2002-2009
RECORD_ID
PR0231069
PE
2361
FACILITY_ID
FA0001909
FACILITY_NAME
STOP N SHOP
STREET_NUMBER
1856
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
123-191-02
CURRENT_STATUS
01
SITE_LOCATION
1856 W COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231069_1856 W COUNTRY CLUB_2002-2009.tif
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EHD - Public
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-g <br /> UNIFUS770'GRAM CONSOLIDATED FORM <br /> TANKS <br /> UNDERGROUND STORAGE TANKS-TANK PAGE 2 <br /> MEN .11 111 Of <br /> UNIX1(X0UND PIPING ABOVEGROUND PIPING <br /> SYSTIM Tyn 1.PRESSURE 0 2.SUC110N 0 3.GRAVITY 45I, 13 1,PRESSURE 0 2.SUCTION Q 3.GRAVITY 4$9, <br /> CONSTRUCTION/ 0 1.SINGLE WALL El 3.LINED TRENCH 0 99.OTHER 46a C)1.SINGLE WALL 0 95.UNKNOWN 467, <br /> MANUFACTURER W,DOUBLE WALL 0 95.UNKNOWN El 2.DOUBLE WALL 0 99.OTHM <br /> MANUFACTURER 4si. MANUFACTURER 463 <br /> 0 1.BARE STEEL 0 6.PRP COMPA-17BLE W1100%METHANOL ❑1.BARE STEEL El 6.FRP COMPATIBLE W/10%METRAN01, <br /> 2,STAINLESS STEEL El 7,GALVANIZED STEEL 2.STAINLESS STEEL 7.GALVAN=STEEL <br /> 0 3.PLASTIC COM?ATIBLZ WITH CONTENTS 0 95.UNKNOWN 0 3.MASTIC COMPATIBLE W/CONTENTS 0 S.P1M=1(HOPE) EJ 99.OTHER <br /> )<4.fWEROLASS ❑&FLEXIBLE(HOPE) (:]99,OTHER Q 4.FIBERGLASS E3 9.CATHODIC PROTECTION <br /> []S,STEEL WICOATING 9,CATHOWC PROTECTION 464. 3.STEEL W/COATING 0 95.UNKNOWN 461. <br /> UNDERGROUND PIPING ABOVRGROUND PIPING <br /> MGLX WALL PIPING 46. SINGLE WALL PIPING 467 <br /> PR1SSXWZ0 MING(Check all that apply): PRESSURIM Pu9wG(Check an that apply): <br /> ELECTRONIC LINE LgA)K DjaTECTOR 1,0 GPX TEST_V= AUTO PUMP [3 1. ELECTRONIC LINE Lux DETECTOR 3.0 OPH TEST=AUTO PUMP <br /> SM)T-OFF FOR LgAK SYSTEM FAILURE,AND SYSTEM DISCONNECTION SH1.rr OFF FOR LEAK,SYSTEM FAILURE,AND SYSTEM 135CONNEC77ON <br /> +AUDIBLE AND VISUAL ALARMS. -AUDIBLE AND VISUAL ALARMS, <br /> 2, MONTHLY 0.2 OPH TEST 02. MONTHLY 0.2 ePm TEST <br /> ANNUAL INTEGRITY TEST(0.1 OPH) E3 2. ANNUAL INTEGRITY TEST(0.1 GM <br /> 04. DAILY VISUAL CHECK <br /> CONVENTIONAL SUCTION SYSTEMS CONVENTIONAL SUCTION SYSTEMS(Chock all that apply) <br /> 0 S. 12AILY VISUAL MONITORING OF PUMPING SYSTEM-TRIENNIAL PIPING 05. DAILY VISUAL MONITORING OF PIPING AND PUMPING SYSTEM <br /> DMGRrry TEST(0.1 GPM) <br /> SAFE SUCTION SYST=S(NO VALVES IN BELOW GROUND PIPING): [16, TRIENNIAL INTEGRITY TEST(0,1 GPX) <br /> 0 7. SELF MONITORING, SAM SUCTION SYSTEMS(NO VALVES IN BELOW GROUND PIPING): <br /> OXAVrrY FLOW [3 7, SELF MONITORING <br /> [39. BIENNIAL INTEGRITY TEST(0.1 GPM GRAvrry now(Chock all that apply): <br /> 0 S. DAILY VISUAL MONITORING <br /> 0% BIENNIAL INTEGRITY TEST(0.1 GM <br /> SECONDARMY CONTAEnD PXPXN(y SECONDAWLY CONTAIN90 PIPING <br /> PRESSVIUZED PIPING(Check all that apply); MENURTXM PIPING(Chock as*,st APP(Y): <br /> AP, CONTINUOUS TURBINE SUMP SENSOR AM AUDIBLE AND VISUAL 10. CONTINUOUS TURBINE SUMP SENSOR 'b= AUDIBLE AND VISUAL <br /> ALARMS AND(Chock ow) ALARMS AND(Check one) <br /> 4,AUTO PUMP SHUT OFF WHEN A LEAK OCCURS AUTO PUMP SHUT OFF WHEN A LEAK OCCURS <br /> ;9(b.AUTO PUMP SHUT OFP POR LEAKS,SYSTEMPAILURR AND SYSTEM G b,AUTO PUMP SHUT OPP FOR LEAKS,SYSTEM FAILURE AND SYSTEM <br /> DECONNEL17ON DISCONNECTION <br /> Oc, NOAUTO PUMP SHUT OFF Cc. NOAUTO,PUMP SHUT OFF <br /> )rll. AUTOMATIC NINE LEAK DETECTOR(3,0 OPH TnT)wjm FLOW SHUT <br /> 13 <br /> OFF OR RESTRICTION 1 I,AUTOMATIC LEAK DETECTOR <br /> 12, ANNUAL NTECAUTY TEST(m Orm) 0 12 ANNUAL INTEGRITY TEST(0.1 OPH) <br /> SUCTION/GRAVITY SYSTEM SUCTION/GRAWN SYffM <br /> E3 a CONTINUOUS SUMP SENSOR+AUDIBLE AND VISUAL ALAWNIS El 13.CONTINUOUS SUMP SENSOR+AUDIBLE AND VISUAL ALARMS <br /> EMERGENCY GIG 49RATORS ONLY(Check all that apply) EMERGENCY GEIGMATIORS ONLY(Cbftk all that apply) <br /> Q 14. CONTMOUS SUMP SENSOR)VJ14M XJTO PUMP SIWT OFF 0 14,CONTINUOUS SUMP SENSOR AUTO PUW SHUT OFF <br /> AUDIBLE AND VISUAL ALARMS AUDIBLE AND VISUAL ALARMS <br /> 015. AUTOMATIC LINE LEAK DETECTOR (3,0 CPR TEST) MIMIJI PLOW <br /> SHUT OFF OR RESTRIMON 1$.AUTOMATIC LINE LEAK DETECTOR(3.0 CPU TEST) <br /> [3 16. ANNUAL INTEGRITY TEST(a.I GPM 16.ANNUAL INTEGRITY TEST(0,A OPH) <br /> 0 17. DAILY VISUAL CHECK 0 U.DAILY VISUAL CHECK <br /> DISPENSER CONTAINMENT 4611. 1. FLOAT MECHMISM THAT SHUTS OrF SHEAR VALVEDAILY VISUAL CHWK 09. <br /> DATE INSTALLED 02. CONTINUOUS DISPENSER PAN SENSOR+•AUD03U AND VISUAL ALARM 15�, TRENCHaJNER MONJITORM <br /> "Nwq. CONTINUOUS DISPENSER PAN SENSOR X11AUTO SHUT OFF POR <br /> DISPENSER+AUDIBLE AND VISUAL ALARMS E3 C NONE <br /> .......... <br /> I kxtti&that vided he9 amumto to the ban of my knowledge. <br /> SI DATE: I f 4ft <br /> -7 <br /> N no P-MkYTOKLA <br /> (Prip): Trmje 0 TOR: 47% <br /> -C <br /> Pcr*N5xmt6-rAsmywo*) 479, Permit Appmvcd By 7Agcagy we only) 474. 1 Pw*ExpitwKieA DW(Appy me only) 475. <br /> UPCF bwftm-b(1/99)-314 hupd/wwwmaidemarg Rev.02116" <br />
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