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UG010 BUSINESS NAME Same as FACILITY NAME or DBA-Doing Business As 3 Pacific Bell Telephone Company dba AT&T California 00010 BUSINESS SITE ADDRESS 103 1 CITY 104 1812 COLEY AVE ESCALON Revised 8/16/2012 Monitoring Plan Change History Revision Date Reason for,Revision 8/1/2008 Revised to new UniDocs forms 5/14/2009 Section V:Added Monthly Visual Pipe Monitoring; Section VIII:Added Visual Inspection Records; Section X:Added Fill Tube Shut-Off Valve as Primary Overfill Prevention Device; Section XI:Replaced ESM with Vendor 8/16/2012 Section IV & V: Specified TLS Model#; Sections IV, V &X: Specified Sensor Locations; Section XI: Offered Vendor Contact List Upon Request; Section V:Additional Monitoring Information Response Plan Chan e History Revision Date Reason for Revision 5/14/2009 Revised to new UniDocs forms 4/18/2010 Updated to latest UniDocs form;Removed Shaw from Section III and Added ESM to Section IV 8/16/2012 Updated to latest UniDocs form; Section IV:Offered Employee Contact List Upon Request Facility Information Form Change History Revisi(i Date" Re fbr Reviston 8/1/2008 Revised to new UniDocs forms 5/14/2009 Section IV:Revised Tank Owner Info to Dallas address;Section VI:Revised Permit Holder Info to Tank Owner 8/16/2012 Section VI: Revised Permit Holder Info to Facility Owner Tank Information Form Change History Revision Date Reason for Revision 5/14/2009 Revised to new UniDocs forms 3/26/2010 Section II: Updated Tank ID#; Section III: Changed Fuel Usage from Other to Emergency Generator; Section IV: Added Fill Tube Shut-Off Valve;Section VIII:Added Isolation 8/16/2012 Section VI:Revised Vent Piping Transition Sump to Single Wall Site Plan Change story l2evisittn I?ate Reason far Revision 8/1/2008 Stantec Site Plan 5/14/2009 New Site Plan created 8/16/2012 Added Tank ID# s ,Sensor Locations,ATG,Vent Line&AG Piping