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COMPLIANCE INFO_2021
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0542573
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
1/4/2022 11:09:36 AM
Creation date
1/25/2021 5:00:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0542573
PE
2351
FACILITY_ID
FA0024482
FACILITY_NAME
ADELFO'S ARCO AM/PM
STREET_NUMBER
3443
STREET_NAME
CHEROKEE
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
13206001
CURRENT_STATUS
01
SITE_LOCATION
3443 CHEROKEE RD
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 /> U ST Moaetflfing Sete Plan <br /> SW-Address: CHERCKEY&RCO-3443CHrRCKEERD SiUCr,GN <br /> VR <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> Y. . <br /> . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . KED' <br /> . . . . . A=?iY.'7LZ.'<RSenaor <br /> . .�. F=FILLS <br /> F � <br /> . . . . . . . . . V=VAPOR <br /> . . . . . . . . . . . . . . . . . . . P=PROBE <br /> L=Turl me 7 Leak Detector <br /> 8; 91 . . . . X=SUVP-SIMOR <br /> $=Brine sensor <br /> 5=Smart Sensor <br /> S C=Floats&Cham <br /> P X 3 E=E Stop <br /> Q <br /> DSL <br /> xPIPI\G} <br /> X Ehaz3-i of paper <br /> eut of sump and <br /> LTC:E.�o <br /> ondara:ound <br /> dratt-ng is <br /> S sccutath,nye <br /> � rannm specv3ate <br /> . . . . . . . . . . . . . . . . . . . blue pn=- <br /> .9rdr italic v�ngrmarf fhd�e mr lrsi�a ra t7tt cert�,�ing rac7meitataa ae a <br /> gRfGssiorniopvanri mxfine sda�l)Dori m�mtiara)pla xs�-2Jhrnrit� <br /> ragria scde <br /> Date map was drawn_92129i2i)20 <br /> Instructions <br /> If you already have a diagram that shows a!required information,you may utclude k rather than this page,with your Moniloring SyAEM Gertifwafion. On yoursite plan, <br /> show the genera9 layout&tanks and piping. Cready identity locations of She following equipment,if installed:maFghwirg system control panels;sans» moni4adfg lank <br /> annular spaces,sumps,dispenser pans,spill tantainers,or other secondary contain meet areas;tnechamml of electronic line leak detedars;and inANAC liqued Level <br /> probes(' used for teak deiecdon). In the space pnwu ded,nate the date this&fs Plan was prepared. <br /> aanm inrinn suz+s� ron:r yn... a�.o a,r A 79 trfl7 <br /> Page 6 of 6 <br />
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