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COMPLIANCE INFO_2021
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2300 - Underground Storage Tank Program
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PR0231706
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
10/17/2022 4:20:09 PM
Creation date
3/31/2021 3:22:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231706
PE
2361
FACILITY_ID
FA0000485
FACILITY_NAME
FLAG CITY CHEVRON
STREET_NUMBER
6421
STREET_NAME
CAPITOL
STREET_TYPE
AVE
City
LODI
Zip
95242
APN
05532024
CURRENT_STATUS
01
SITE_LOCATION
6421 CAPITOL AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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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 Monitoring Site Plan <br /> Site Address: FLAG CITY CHEyRON 6421 CAPITOL. AVE. LOOT, CA 95240 <br /> .0400 Vvilts. . <br /> , VENT stmt. *PIPING 4 <br /> A = ANNULAR _ (.ARROIt'S) <br /> F = FILLS Drawine of piping <br /> .T = TGRBIi�IE O UvdtD 's.No and <br /> P = PROBE _ 7JDC's: No <br /> V = VAPOR G 91 a un wing i accurate, <br /> X = SUJIP SENSOR - drawing s a <br /> L = LeskDetector 87S 87ADIE the cannot <br /> 1U = bfzn1ns speculate blue <br /> B = Brine Sensor P O F prints. <br /> I = Smut Sensor <br /> S = ST}? �1 t. <br /> C = <br /> Floats & Chains <br /> E �`�' J <br /> = £ Stop . - t I . - . - <br /> 0 0 : : <br /> c L r t cEl ,LL : . <br /> I . . - . . . <br /> 12. . . . . . 3. <br /> i <br /> . 1D , g h <br /> _ I - <br /> i I- <br /> 1!PW items mtdergroirn6f that are notvisible to this certifiang t6ohnician are a <br /> prgfessionalopinion om& mid aiesoletirforbtfoynadoao/purposer. Drawiv <br /> mI _ 110h to scale <br /> Date map was drawn: 4126!27 <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 Certcation. On your sde. plan; <br /> short 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 spades, sumps, dispenser pans, spill containers, ar other _econdary containment areas: mechanical or eLkironic line leak detectors; and in-tank liquid level <br /> probes (if used for leak detection). In the spam provided, note the date this Site Plan was prepared. <br /> Page 6 of 6 <br />
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