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COMPLIANCE INFO_2021
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2300 - Underground Storage Tank Program
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PR0231380
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
11/9/2021 8:49:25 AM
Creation date
1/19/2021 8:43:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231380
PE
2361
FACILITY_ID
FA0000645
FACILITY_NAME
SHORT STOP FOOD MART
STREET_NUMBER
20
Direction
W
STREET_NAME
TURNER
STREET_TYPE
RD
City
LODI
Zip
95240
APN
04134015
CURRENT_STATUS
01
SITE_LOCATION
20 W TURNER RD # A
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: 9/7/21 <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 />Site Address= SHORT STOP FOOD MART – 28 W TURNER LANE LOBI, CA <br />liT5i TITKNMREAD <br />_�3res�ilamsrr»�argrarrdY�tue naC tiisi�sYO YbS'oex7{�.irea Yac)aricrary na[r <br />. <br />fs-�asstt�ioprraaaor��mrttresola��fa-ir�mnxrfrvr�riprrrFas�. Drari�rng <br />. <br />CAS TANK <br />- . . - . . - . . - . . . . - . <br />. . . - . <br />- . . <br />. <br />-jL=5Tg SUIR3 S£:j SORS <br />. <br />. . . . . . . . <br />. . . . . . . . . <br />BIE <br />4. — <br />SEF <br />F <br />ANKnARS,LNSORS <br />. <br />. <br />. . <br />F=FILLS <br />1 <br />S. <br />r=V POR <br />nu_– xi <br />X = SII3jP SENSOR <br />- . . . . - . - . <br />. - . . . - <br />KUL <br />... .......... . <br />.......... <br />... .... .. .. ....... <br />. . .. . .. .. ....... <br />F F <br />Mm <br />.... ....... .... <br />..... .... ..... .... . <br />..... .... ..... .... .... <br />....... <br />....... <br />.... <br />.... <br />...... <br />.. .... .. ....... ....... <br />TLSa96 <br />.... .. .. <br />STORE <br />I <br />If you already have a diagram that shaws ail required infarmatian, you may include it rather than this page, gime your hfonRoHng Syste±n Certification. On your site plan, <br />shax tine general layout of tanks and piping. Clearly idenfify iocTlk?rs of the rolbwing equipment, -rf installed: mDFMDFked system caeetrol panels; sensors monkta ing tank <br />annular spaces, sumps, dispenser pans, spill rnntainers, ar other secondary _mt3bpmem areas; mechanical as e6sctmnis line leak detaaars: and ir--iank liquid level <br />probes (rf used for leak detection). In the space provided, note the this Site PFam was prepared. <br />Page 6 of 6 <br />
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