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COMPLIANCE INFO_2021
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231429
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
2/15/2022 8:51:13 AM
Creation date
1/13/2021 7:37:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231429
PE
2361
FACILITY_ID
FA0000819
FACILITY_NAME
ONE STOP MARKET*
STREET_NUMBER
1151
Direction
W
STREET_NAME
LOUISE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
21641001
CURRENT_STATUS
01
SITE_LOCATION
1151 W LOUISE AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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SJGOV\kblackwell
Tags
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 /> Monitoring System Certification <br /> US-Mon for ng Site Fl3n <br /> Ste Address One Stop Market 1151 WEST LOUISE MANTECA CALIFORNIA$5336 <br /> *PIPLNG t <br /> (ARROWS) LOVISE AVENUE <br /> DianvmE ofpnping <br /> cut Of=p antis <br /> UDC's.1 o <br /> underground <br /> drazaig ie a.-curate .. _ . . . . - - . . _ <br /> V . . . . . . . . . . . . . . . . . T <br /> - - - - - - . . _ . . . _ . . i T <br /> $ . . . . . . . . . . p <br /> x S_ . . _ . _ _ . . . . . . k { P J P <br /> . . _ . . _ . _ _ _ . .. <br /> x . . . . . . . . - - - . <br /> E . . . - . . <br /> . . _ . _ _ . . . . { Y J { r J r <br /> _ . . - - - - ..3.= . _ . _ . . <br /> w� <br /> _ . _ . _ _ . . _ . . A <br /> Tf� A=?,.mwLm Su'enzor <br /> F=FILLS <br /> .. . . . . . . . . . . . V=T.k?M <br /> . . . . . . . . . . P=PRME <br /> . . . . . . . . . . . L=Turbine+Leak Detector <br /> . .. . . . . . . . ' ' . k=SUMP SENSOR <br /> B=Brine Sensar <br /> STORE . . . . . . . . . . . . . . . s=Smart sensor <br /> CAS . . . . . . . . - C=Floris&L'mains <br /> {� E=1 Stop <br /> - - - - - - .1>g irwres rrr�w tma xar ar5e r0 rhe e�arYp(crwg racJaricitrn <br /> F"�ELSSrOrYl�O�i7IrfA3 Dl�1'aHfJ<Q'8 5028�k'Q'n 0lTlllrrra l���3rf]FUSS DY i n U <br /> Mj r0 56e2i8 <br /> lastructions <br /> If you already have a diagram that Shaws all required infarma[ian.you may include it rather than this page,with your Monitoring System Gertihcatian. On yourstle plan, <br /> show the general Iayaut oftanks and piping. Clearly identify bcatmns of the fallowing equipment,if installed:manitwSrng system oaatral panels;sensors monitoring lank <br /> annuhar spaces,sumps,dispenser pans,spill containers,or other secondary cwitainment areas;anechaerical or eieclron'c line leak detadors;and iro-t3oik liquid Level <br /> probes(if used for beak detection). In the space provided,nate the date this Site Pan was prepared. <br /> Page 6 of 6 <br />
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