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COMPLIANCE INFO_2020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231801
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
8/30/2021 10:50:01 AM
Creation date
6/18/2020 9:09:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0231801
PE
2361
FACILITY_ID
FA0003290
FACILITY_NAME
COUNTRY MART GAS & FOOD
STREET_NUMBER
34243
Direction
S
STREET_NAME
CHRISMAN
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
25318004
CURRENT_STATUS
01
SITE_LOCATION
34243 S CHRISMAN RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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UNDERGROUND STORAGE TANK <br /> MONITORING SYSTEM CERTIFICATION FORM (Page 6 of 6) <br /> XVI. MONITORING SITE PLAN <br /> Date site map was prepared: 5/6/2020 <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 /> annularspaces or vault,4)devices monitoringproductpiping;5)devices monitoring fil/piping;6)devices monitoring ventpiping;7)devices <br /> monitoring vapor recovery piping; 8) devices monitoring vent4ransition sumps; 9) devices monitoring under-dispenser containment; 10) <br /> line leak detectors;and 11)devices monitoring any other secondary containment areas. <br /> UST Nenitorinp Sikerhn <br /> SAo�dartor � I:nuntry IJarr'6d7Ys 5 Cnncmrn Ad IrxyCA 5537E <br /> . . . _ . . . . . . . . . . . . _ . . _ . . <br /> Store <br /> I <br /> El <br /> iL TL 7L <br /> DIE +prnzrc� <br /> DIB Iha sr or <br /> F $7 g. .antoE <br /> T <br /> liovr and <br /> L Ltauiaa u <br /> P <br /> = P aaztaa�.a. <br /> eumt aystl<c <br /> F 9I r <br /> A F <br /> A !=.1XVL'Lih: <br /> F-PILLS <br /> T=TT7'RT`T- <br /> k P=PROBE <br /> . _ . . . . C-ti.12OR <br /> . . . . . _ . . _ . . S=9VAfP`•FVF0R <br /> L=L.D <br /> IL-itdaaxan <br /> ab Csws aaalrt:crmrrwvablrrarirca r. B=ArirarSamar <br /> p n•>:fot�rar -�:'r,rx Garai rr mr c i c Snot Samar <br /> yreieviemlcyrrianonj rneiaa:oiati:£a crd6rrreu7creriyTnja e D m;r 5-SIB <br /> rpr rP Shcf.F C-Fluats&C1uiw <br /> L-E Step <br /> r <br /> Data map roar c7xvna 1 <br /> l 9 <br /> Instructions —— <br /> If you smadr hme a ciagram that ahcws all reorared inkirmaten yo r tna/inds*it,rather tun he page,witi your Monitoring Ryden Ce t rn :ian On yeur ails plan <br /> Stan the general laycut oftsrics and p�irg. ..karry derby WaaGon atttr_idlowing equ¢meM•if inralkd mcrrarnng systm eantro-=a-.cis xnsar_moebvyonk <br /> arruiae spaces,nunpe,dis7nmo pans,_pit cartainein,a other srordary certa'smea meas mecharica or ekarmc ine leak deledui_,aid in-ttnklgric:md <br /> m7be3(fumed fw eak devacm.Ir:he scare porided mote the date this_he Plan was prwansd. <br /> LEGEND <br />
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