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COMPLIANCE INFO_2021
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231216
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
8/17/2021 1:13:46 PM
Creation date
1/29/2021 11:53:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231216
PE
2361
FACILITY_ID
FA0002480
FACILITY_NAME
SHOP N GO 3
STREET_NUMBER
4511
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11023011
CURRENT_STATUS
01
SITE_LOCATION
4511 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
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 /> monitoring aysrem Lemncanon <br /> UST Monitoring Site Plan <br /> ................................................................................................................................................. <br /> SdE Address SMP NGO.d511:PACTS AVE STGCHTON CALIFORINA 952107 <br /> E-STOP - <br /> Vr' - - - - - - - - - - - - - - - - - - <br /> . . . . _ . _ . . _ .2 . . . <br /> T <br /> G <br /> . . . . . . . . . . . . . . . . . . . . . . . . . , . - ' - . - - . - <br /> . . . . . . . . . . . . . . . . . - - - - - - 4 - <br /> If E 3 C <br /> A—ANN 7L-IR <br /> T=EPEES <br /> T=Tf.1kBLNE - El <br /> P=PROBE . . . . . <br /> I'=VAPOR <br /> X=SUN fl?SENSOR <br /> L=Leak Detector <br /> ]4=Mann{v <br /> S=Brine Sensor <br /> I=Swart Sensor <br /> 5=STP dam'ifaava u graraxlrtrffm a xcr trsrble ro riga cai�{Singlrrlrueamr ma a <br /> C=Rasta&Chime {ressrnrzxlaprsaa4nndcaesde �6orrforarnronx]peugeaz.£hmrrrg *PIPING* <br /> F=E Stop mr m scde (ARROWS) <br /> D.-ah-=E of piping <br /> 2}dt cf sump and <br /> JDC'E.�o <br /> undue eround <br /> d-g is ^' <br /> we caano± <br /> apecuiate blue <br /> pinis- <br /> Date map was pi <br /> drawn:MOP V�l j <br /> Inshuctions <br /> IFyou already have a diagram that shows all required information.you mai+include it rather than this page,with your Monitoring System Ceri:fication. On yuursite plan. <br /> showttre generai Iayoutof tanks and pipu3g. Clearly identity iocatians AThe following equipment,if installed:monifoang system control panels;sensors munimrmg tank <br /> annular spaces,surcps,di penser pans,spill containers,or other seccodary conlainmern areas;mechanical or ek-dranic line leak deteelors;and M-tank liquid leve9 <br /> probes f'rf used for leak detection). In the space provided,note the date this Site Pan was prepared. <br /> Page 6 of 6 <br />
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