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COMPLIANCE INFO_2021
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2300 - Underground Storage Tank Program
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PR0231764
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
10/10/2022 8:23:27 AM
Creation date
4/19/2021 9:15:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231764
PE
2361
FACILITY_ID
FA0002160
FACILITY_NAME
BlackHawk Petroleum Inc.
STREET_NUMBER
5611
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
08710052
CURRENT_STATUS
01
SITE_LOCATION
5611 E WATERLOO RD
P_LOCATION
99
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:7/7/2021 <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 /> SiW Adkess: TIGER EXPRESS#2 DELTA SS_ 9H i E WATERLOO STOCKTON CA 9521x- <br /> . . . . . . . . . . . . . . . . . . . A . . . . . . . . . . . <br /> F <br /> T <br /> . . . . . . - . . . . . . . . <br /> . _ .- .. . .. - - - . <br /> TLS . . . . . . . . + LNG+ <br /> (_AMOWS) <br /> . . . . . . . . . Ekawdae afplPing <br /> emt of MMP aDd <br /> T T UDC'-'s.�\o <br /> lmdeaeroand <br /> X x . . . . . . . draiamg in accurate_ <br /> we eannox <br /> . . . . . . . . . . . . . . . . . . . - . . . . . . . . . . . . . Pint- <br /> . . . . <br /> 7 <br /> . . . . . . . . . . . . . . .. . . . . . . . . . . . .. J <br /> . . . . . . . . . . . . . _ _ _ . _ . . _ . <br /> . A=xmnmAzSensor <br /> . . . . . . . . . . . . _ . . - - - . F=FELLS <br /> F=V.kpoR <br /> P=PROS£ <br /> L=Iurbme?Leak Detector <br /> x=WTIIP 2 FNSOR <br /> B=$rine Sensor <br /> S=Smart Selmr <br /> C=Haar,&Chains <br /> E=E stop <br /> A*rrerra rrr&rgrWffidrkd uric reap 17SINe to a <br /> prq(essiaw?QpdJRonapt-curftresaI4fir DrzmiFU <br /> M1 to sede <br /> dale map waa drawn:7121+2 <br /> Inshmefions <br /> 1f you already have a diagram that shows at required information,you may include it rather Than this page,With your Muni€oring Systern Certification. On yourske plan, <br /> shorrdw_general layout cf tanks and piping. Clearly identify locations of the Fallowing equipment,if installed:manitunkg system control panels;sensors maniGairgr tank <br /> annular spaces,sumps,dispenser pans,spill containers,or other secondary oanrammeset areas.mechanical or ekmronk:line leak detec9ors;and in-tank liquid revel <br /> nrohes(if used for leak deaec*m). In the space provided,note the date ihis Site Phn was prepared. <br /> Page 6 of 6 <br />
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