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COMPLIANCE INFO_2022
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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PR0231300
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
10/10/2022 8:07:56 AM
Creation date
5/23/2022 10:46:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0231300
PE
2361
FACILITY_ID
FA0001858
FACILITY_NAME
MY MINI MART
STREET_NUMBER
1756
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
11721005
CURRENT_STATUS
01
SITE_LOCATION
1756 N WILSON WAY
P_LOCATION
01
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. <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 /> ux-worrw rmg ane rias <br /> Site Address. MY MINI MART 1756 H WIE SOK WAY STOCKTON CA <br /> kPIFLNG} <br /> (ARROWS) <br /> Drew-irtg of P1Pang <br /> exit of mimp and <br /> T3DC's.'_ia <br /> tntdergannd <br /> draping is accurate <br /> Sae taenof - <br /> specuEate <br /> Faints. <br /> . . . . . . . . _ . _ _ . . _ . . . . _ . . . . . . . . . . _ . . _ <br /> . . . . . . ... . 87 007— . . . <br /> . .91 OCT.— <br /> L F L P <br /> {ter <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> KEY . - - . . . . . . - - - <br /> =.!L9t1ui-kR Sensor <br /> F=FILLS <br /> - - - - - - - - <br /> F=PROBE . . . . . . . . . . . . . . . . <br /> L=Turbine+L eak Detector <br /> X=SUMP SENSOR . . . . . . . . . . . : - . . . : . . : - <br /> B=Brine Seosor . . . . . . ... . . . . . . . . . -' <br /> 5=Smart Sensor . . . . . . . . . . . . . . . . . <br /> C=Floats&Chains . . . . . . . <br /> E=E Stop . . . . . . . . . . . _ <br /> _&D dans frmk7grmm diAm mora feat wsibla to fire cffn6mg faclrercran ma a <br /> prcAssf-vl opr—of{r--d—sola,fcr iffonrratiafvxl prrrpor Dr-rmg <br /> W1 ro seeds <br /> Date map was dmmv:5-16.-21 <br /> Instructions <br /> IF you already frave a diagram that shows al required information,you may 6oclude iL raltref Than this page,with your Monitoring System Ceni"tion. On your sit-plan, <br /> show the general Iayoul eftanks and piping. Clearly idenSify Ioca63as of the following equipment,if installed:manitorirg syst2m comml panels;sensors monitu&g flank <br /> annufar spaces,sumps,dispenser pans,spill carnainers,ar afher secondary cant*nmet areas:mechareicai ar electronic iine leak deteewrs;and in-t3nk liquid level <br /> prahes(rf used for leak deleatim). Inthe spate provxlLad,note the date this Site Pon was prepared. <br /> Page 6 of 6 <br />
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