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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231547
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COMPLIANCE INFO_2021
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Last modified
12/28/2021 10:51:43 AM
Creation date
5/5/2021 2:29:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231547
PE
2361
FACILITY_ID
FA0003848
FACILITY_NAME
Verizon Business: KINGCA
STREET_NUMBER
13850
Direction
N
STREET_NAME
DE VRIES
STREET_TYPE
RD
City
LODI
Zip
95242
APN
05524018
CURRENT_STATUS
01
SITE_LOCATION
13850 N DE VRIES RD
P_LOCATION
99
P_DISTRICT
004
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: 08- 07-2018 <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 /> usr Monitoring Plan <br /> • SaeAdtrec ► 385D De 'ane5 cta� t�nl c.� 9521L - ----- - --- <br /> I <br /> N <br /> ,. b. <br /> VWulko bm 9WWOr4ZM <br /> L� Loo <br /> [ i <br /> ... � ..� ►a .p .- <br /> I .�. .... <br /> Cr <br /> It»sl� <br /> Ifyou aheady have a &W= tba shows ell m*dmd infarmatioq you may hrdude it, MdW am this page, <br /> with your Mooft r atem <br /> &� Catificadm On ymr plan, show the YMOR) layori of dw t Mu and piping. <br /> Cleady iderdfy location of the following alydlmart, if fismllch moniWdng system oanw panel; aernor <br /> mmitar ng twk =wh r specs, stm4s, d'npaner pw4 spill =Iwo% cr other seemday �nmt gran <br /> nrechmcal or elecbmw line leak detectas; and lata* ligwd leve! probes (if used for leek ddxcbm} In the <br /> space provided, note the date ttm plan was p qmc& <br /> U <br /> Page 6 of 6 <br />
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