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COMPLIANCE INFO_2020
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231692
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COMPLIANCE INFO_2020
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Last modified
12/22/2020 9:25:12 AM
Creation date
6/11/2020 3:51:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0231692
PE
2361
FACILITY_ID
FA0000212
FACILITY_NAME
Mossdale Chevron
STREET_NUMBER
444
Direction
W
STREET_NAME
MOSSDALE
STREET_TYPE
RD
City
LATHROP
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
444 W MOSSDALE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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UNDERGROUND STORAGE TANK <br /> MONITORING SYSTEM CERTIFICATION FORM (Paye 5 of s) <br /> XVI. MONITORING SITE PLAN <br /> Date site map was prepared: Z-0 <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 /> Certfication 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 /> i <br /> IDS <br /> �t33�fi� sus <br /> 3� <br /> 4 ( V <br /> vp <br /> g7 ° <br /> d v 5 C-101 [� I <br /> O' <br /> ID <br /> I <br /> ' <br /> REC 'j <br /> 1. <br /> EWIRONNIENTAL HEATH <br /> nEPART�!iFNT <br /> LEGEND <br />
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