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COMPLIANCE INFO_2021
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2300 - Underground Storage Tank Program
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PR0231348
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
8/4/2021 9:21:53 AM
Creation date
1/14/2021 7:54:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231348
PE
2361
FACILITY_ID
FA0003803
FACILITY_NAME
KETTLEMAN CHEVRON
STREET_NUMBER
601
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04728006
CURRENT_STATUS
01
SITE_LOCATION
601 E KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
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 <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 /> S-te P.ddre=-sKEMEl6 N CHE}'RON 601 KETTLEMANLANk-WIN Ck P9240 <br /> 7. <br /> ' = D. <br /> T KL'.3f <br /> k 4 <br /> �y i i T .�i=-�V"R'E.hR Seoso-r <br /> 71 } F=FILLS <br /> V VAPOR C) <br /> DDE <br /> P=PROS£ <br /> L=Iurbiae:Le3kDetector <br /> . x x .l =SII]S P SUNSOR <br /> S=$rias 5eosar <br /> O k S=Smart Sensor <br /> C=FiaaL�&Chains <br /> 0 0 E £Stop <br /> OVERFILL CRrg <br /> *PIPI-'%'Gt C-STORE <br /> (-kRRW%'S) <br /> DtawiaE of P1PiU€ <br /> chit of sump and <br /> UD C'3' <br /> �'o <br /> undetszcund <br /> fir;ms's acc 1-ate; aN items underground that are not visible to the cerdfv ing technician are a <br /> °' prafessianai opinion only and are soleh-for informational purposes. Ilravxiag not to <br /> speculate blue scale. <br /> � <br /> Date map was drawn: 7127I21 <br /> Insfruclians <br /> If you already have a diagram that shows A required in`armatitn-you may include it rather than this page,with your Monitoring System Gerfdieatbn- On your she plan, <br /> show i^.a ganerai layout of tanks and piping. C9early,o-emify k}oayons of the fallowing equ;pmarrt,if installed-muni wirtg sy=-ten-.:rs l panels;sensors manirarhp tank <br /> annular spaces,sumps,dispenser pans,spill oor-tainem.or other seDmWary cantainfnwt areas-mechanicaIca electronsc line leak deterlDr5;and i;�tank liquid levet <br /> .probes(rf used for k;ak delection). In the space prordad,note the data this Site Pan was prepared. <br /> Page 6of6 <br />
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