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COMPLIANCE INFO_2019
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2300 - Underground Storage Tank Program
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PR0231216
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COMPLIANCE INFO_2019
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Last modified
11/21/2022 10:28:43 AM
Creation date
6/28/2021 11:18:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
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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EHD - Public
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UNDERGROUND STORAGE TANK <br />MONITORING SYSTEM CERTIFICATION FORM (Page s of <br />XVI. MONITORING SITE PLAN <br />Date site map was prepared: <br />If you already have a site plan that shows all required information, you may include it, rather than this page, with your Monitoring System <br />Certification Form. The site plan must show the general layout of tanks and piping and clearly identify locations of the following equipment, <br />if installed: 1) monitoring system control panels; 2) in -tank liquid level probes (if used for leak detection); 3) devices monitoring tank <br />annular spaces or vault, 4) devices monitoring product piping; 5) devices monitoring fill piping; 6) devices monitoring vent piping; 7) devices <br />monitoring vapor recovery piping; 8) devices monitoring vent/transition sumps; 9) devices monitoring under -dispenser containment, 10) <br />line leak detectors; and 11) devices monitoring any other secondary containment areas. <br />UBTMonkoriny Site Plan <br />__ Site Address: <br />t SHOP NCO 4511 PACIFIC AVE STOCK TON CACI FORINA 95207 f <br />4. <br />E -STOP <br />2 <br />T <br />G <br />. . . . . . . <br />. . . . . . _ _ _ _ _ <br />_ . . . _ <br />_ <br />.I I_I <br />I F I <br />a=:�-CiLAR <br />F = FII.LS <br />T = TURBI_,iE <br />P <br />—PROBE <br />= VAPOR <br />Y= SU11P SENSOR <br />L =Leak Detector <br />11I=11j=W2'v <br />B = Brine Sensor <br />I = Susart Sensor <br />S = STP <br />C = Floats a& Chains <br />E = E Stop <br />_i+lt• fterre et+►*rgt-oemrlrha mr xu tirfble to rlss cw7{,(tingtrltrzicrtur "a <br />p-�essiwrriopiraonor{4•mdca-esd�h_fa-i�ornutramlpvrpas�. Dimrfrle <br />not to scde <br />Date map was drwn: 275+113 <br />Instructions <br />include it, rather than this page, <br />e following equipment, if installed: <br />Drawing of piping <br />exit of sump and <br />UDC's. No <br />vndereround <br />drallmq i accta te, <br />Ave einnot <br />zteculate bluz <br />P ir"s• <br />If you already have a diagram that shows a� required tnforrnation, you may with your Alonifodng System CertCertification,. On your Site plan, <br />shovr th=_ general layout of tanks and piping. CFearly identify IocaEons of thmonitoritg system control panels; sensors monitoring tank <br />annular spaces, sumps, dispenser pans, spill centamers, or ocher secondary containment areas; ntechanicalar electronic Zine leak detstors; and in -tank liquid levet <br />probes [if used fcrIeak dztec[ion). In the space provided, note the date this Site Plan was prepared. <br />LEGEND <br />
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