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COMPLIANCE INFO_2022
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0232523
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
1/13/2023 9:15:56 AM
Creation date
7/12/2022 9:52:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0232523
PE
2361
FACILITY_ID
FA0003833
FACILITY_NAME
Super Store Industries - Grocery Division
STREET_NUMBER
16888
STREET_NAME
MCKINLEY
STREET_TYPE
Ave
City
Lathrop
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
16888 McKinley Ave
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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SJGOV\kblackwell
Tags
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 /> Monitoring System Certification <br /> UST Monitoring Site Plan <br /> Site Address: SUPER STORES INDUSTRIES 16888 McKINLEY AVENUE LATHROP CA 95330 <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . *PIPING* <br /> (ARROWS) <br /> DIESEL . . O O DIESEL. . Drawing ofpiping <br /> T-1. . . . .T-2 . exit of sump and <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . UDC's.No <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . underground <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . drawing is <br /> accurate,we <br /> OO _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ cannot speculate <br /> b/l'u"e'—prin(ts�. J <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> L L <br /> X X <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . .NEW OIL. . . . . . .USED OIL. . . . . . . . . . . . . <br /> . . . . . . . . . . . . . T-3.. . .T-4 . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F F <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X X <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . VENTS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> .X .1/2 <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . KEY <br /> . . . . . . . . . . . . . . . . . . . . . . A=ANNOLAR Sensor <br /> . . . . . . . . . . . . . . . . . . . . . . F=FILLS <br /> V=VAPOR <br /> . . . . . . . . . . 1�� <br /> . . . P=PROBE <br /> L=Turbine/Leak Detector <br /> X=SUMP SENSOR <br /> B=Brine Sensor <br /> . S=Smart Sensor <br /> C=Floats&Chains <br /> ESE . . . . . . . . . . AT <br /> O PROBES ON T; GE=E Stop <br /> TANKS <br /> ��ilana rna�grarariihd csa rwd�isr6la to the serit,(�ing t�laaiciux ira n <br /> pr assiw:rlapl—ori intima sda�,fruDrmrrrg <br /> nw to scda <br /> Date map was drawn:10/12/20 <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 Certification.On your site plan, <br /> show 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 spaces,sumps,dispenser pans,spill containers,or other secondary containment areas;mechanical or electronic line leak detectors;and in-tank liquid level <br /> probes(if used for leak detection). In the space provided,note the date this Site Plan was prepared. <br /> Monitoring System Certification Page 4 of 4 2/21/07 <br /> Page 6 of 6 <br />
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