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COMPLIANCE INFO_2021
EnvironmentalHealth
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BENJAMIN HOLT
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2300 - Underground Storage Tank Program
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PR0231021
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
9/22/2022 4:18:46 PM
Creation date
1/8/2021 2:23:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231021
PE
2361
FACILITY_ID
FA0003625
FACILITY_NAME
ARCO STATION #83560*
STREET_NUMBER
2908
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
09763032
CURRENT_STATUS
01
SITE_LOCATION
2908 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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Underground Storage Tank <br /> Monitoring System Certification Form <br /> 10. MONITORING SITE PLAN <br /> Date site plan was prepared: <br /> If a site plan has been prepared that shows all required information, you may include it, rather than this page, <br /> with your Monitoring System Certification Form. The site plan must show the general layout of tanks and <br /> identify locations of the monitoring panel, and all leak detection equipment and monitoring locations. Include <br /> a legend for all symbols depicted. <br /> katutnrin[t Sta1eM CatMICi6oer <br /> Ll STNanitarng Me Plan <br /> Sim Ad-Jress: ! BENJAHIN HOLT ARCO 29908 BENJAMIN HOLT DR STOCKIFON CA SM7 <br /> STORE <br /> - - - - - - - - - - - - - - - - - - - <br /> _ S7 G 87 z ra X , -.. <br /> E_ a ATG <br /> F . . - <br /> x 420,, <br /> 91 1C. p <br /> tr <br /> P T <br /> . . . . . . . . . . . . . . . . . . . . - . . . . . . . . <br /> Pnoduaf sjpi}gQ�. V.p r Aad w . <br /> F—FILLS <br /> T=TLTBTYF <br /> P=PROBE <br /> _ _ . _ V=VAPOR <br /> 27IPEYG2 %=S A,EPSENSOR <br /> aRRC 4S� L=LeakNteem <br /> Dr--ne E 14='NhMW&r <br /> ptptie�'i{ i. 8=Brae 5ewos <br /> soap and;DC's. i=3mux Seuour <br /> accurate ca �. -4,•frerrss vrr7wgmretd jAw vs mr vsj s ro i7va cerr0fmg rwM] dan ares . - F=E Stop <br /> carrro-'Pflxi'late F-°�srio�Iap�maes�nr�srvrdr{�;l6or ir�ranvrn'ra�ri'pn�as¢ DHmri�g <br /> 71 w—s <br /> Date mala ryas drawn:9'28119 <br /> Instrrrotnons <br /> If Wu already have a diagram that shows al raqured informalion,you may include it,rather flan this page,with your hSvnitoring System Ged valiion. On your s-de plan, <br /> shwu Ure general laymi or oari[s and piping. dearly ifendry iicafwms of.he iolloning equrpmenr,if In9talled;mom10&N sysrem c4curaa panels;sensor=-mcnxmrog lanW <br /> annular spaces.sumps.dispenser pans.spiR cwA*o em.or o'hersecondary carra�limen,areas meehan;caim elleckonc lire leak detedors arks i t-tanlr RFA levei <br /> probes(rf used foTLeal:deledan). In;he spax pmvoied,nate the date 1!iis Site Plan waa prepared. <br /> Page 6 of 6 <br />
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