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COMPLIANCE INFO_2021
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2300 - Underground Storage Tank Program
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PR0231069
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
12/22/2021 12:06:04 PM
Creation date
3/1/2021 2:41:12 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231069
PE
2361
FACILITY_ID
FA0001909
FACILITY_NAME
STOP N SHOP
STREET_NUMBER
1856
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
123-191-02
CURRENT_STATUS
01
SITE_LOCATION
1856 W COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
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: 7/20/21 1 <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 />UST Monitoring Site Plan <br />Site Address: 1856 Country Club Blvd. Stockton CA 95204 <br />. . . . . . . . . . . . . <br />. . . . . . . . . . . . . <br />. . . ......................................................... <br />..N............................................. <br />.................................................... <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . <br />. . . . . . . . <br />. . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . <br />.................................................... <br />.................................................... <br />STORE <br />.................................................... <br />. . . . . . . . . . . . . <br />. . . . . . . . . . . . <br />. . . . . . . . . . . . .3 . 4. . . . . . . . . . . <br />. . . . . . <br />. . . . . . <br />. . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . <br />H <br />. . . . . . . <br />HIR <br />. . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . <br />'ILS <br />. . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . VENTS. . . . . . . . . . . . . <br />. . . . . . . <br />50 <br />. . . . . . . . . . . . . <br />. <br />. . . . . . . . . . . . . . .. <br />.1 . 2 . . . . . . . . . . . <br />. . . . . . <br />. . . . . . . . . . . . . <br />. . . . . . . . . . . . . <br />. . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . <br />. . . . . . . . <br />. . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . <br />. . . . . . . . . . . . . . <br />IiEV <br />A = nrvrvcL.+a Sensor <br />F=FILLS <br />. . <br />. . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . <br />V = VAPOR <br />91 <br />87 <br />*PIPING <br />P = PROBE <br />L= Turbine / Leak Detector <br />X = SUMP SENSOR <br />R = Brine Sensor <br />']"1, <br />E <br />TL. <br />�' <br />(ARROWS) <br />exit of sump and Drawing of piping <br />S = Smart Sensor <br />X <br />UDC's. No <br />underground <br />C =Floats & Chains <br />drawing is accurate, <br />E = E Stop <br />we cannot <br />. . . . . . . . . . . . . . . . . . . . . . <br />. . . . . . . <br />. . . . . . . . <br />. . . . . . . <br />speculate blue <br />_�Li.��r-frena rrre����rnmlarh� m -e real risible rorll�s cwt(,(iing ra�)ariciax u -s n <br />prints. <br />Ff'.p655IgYflO ldOYi onti- nYfL xdatk'fQ-1.p0)])plfOYYrlpr!!F]l5�_ <br />DrLnt'lrg <br />_ <br />Date map was drawn: 8/31/20. <br />Instructions <br />If you already have a diagram that shows all required information, you may include it, rather than this page, with your Monitoring System Certification. On your site plan, <br />show the general layout of tanks and piping. Clearly identify locations of the following equipment, if installed: monitoring system control panels; sensors monitoring tank <br />annular spaces, sumps, dispenser pans, spill containers, or other secondary containment areas; mechanical or electronic line leak detectors; and in -tank liquid level <br />probes (if used for leak detection). In the space provided, note the date this Site Plan was prepared. <br />Monitoring System Certification Page 4 of 4 2/21/07 <br />Page 6 of 6 <br />
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