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COMPLIANCE INFO_2023
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0506724
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
1/18/2024 11:07:18 AM
Creation date
1/27/2023 4:56:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0506724
PE
2361
FACILITY_ID
FA0007594
FACILITY_NAME
WINE COUNTRY STATION/7-ELEVEN
STREET_NUMBER
1111
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04931056
CURRENT_STATUS
01
SITE_LOCATION
1111 E KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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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 /> SfteAddress: Mime Counlilry 761'111 East Kettleman Lane Lodi,CA 95244 <br /> =P1PLNG* CAR WASH <br /> WMOWS <br /> Dra•,t-ia,g of <br /> P��exit of _ . _ . . . . . _ . . . . . . . . . . . . . . . . <br /> sump aid LDDC-s. <br /> No umdafr3ound . . - . - - . - . . - <br /> dra--gL . . . . . . . . . . . . . . . . . . . . . . <br /> accueate-ive TL <br /> mumot-Pecir ate - - - . . . . - - - - - - - <br /> b;ue paints. <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . STORE <br /> . . . - - , . - . f . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . _ . _ Y . . _ . _ . _ . . . . . . . . . . . . . . . . . . . . <br /> . . . - . . . - - - - - - . . . . . - . . - . . <br /> 87 <br /> xl - . - - . - <br /> . . - . . - . - . . . . . . . . . . . .3[ <br /> F=FILLS <br /> x; } _ . . - . . . . . . . . . . . . . . . . . . . . V=VAPOR <br /> P=PREIBE <br /> 4' <br /> o_ tL=Turbdbrie(LEA Detector <br /> X=SUXT SUNS OR <br /> . J- - - ' - ' - - - B=$rrae:Semor <br /> . . . - . . . . - - . - . - - S=Smart Sffn.3or <br /> . . - . - . . - . . . . C=Floats&Charas <br /> . . . - - . . . . - . . . . . . . . E=E Stop <br /> . . . . . . . . . . . . . . . <br /> Lane <br /> - <br /> ArT.rmymrrarurtirkMarsmaltrsiblefofJacarl6ingfarkrrrcramawrt <br /> lVoksrarra247p--0+0rrrfcraD-1 Mg <br /> aavf fo sede <br /> ❑ate map was drawn:Bi 16121 <br /> nstrurftns <br /> If you already have a diagram that shows A required intnrmation.you nvay include it rather than this page,with your Moni'Dring system Certification- On your site plan, <br /> sham Me general layout of tanks and pipbp- Ctearty identify lo€atrans of the following equipment,if installed:monfto M system control panels;sensors monika ft lank <br /> annular spaces,suntps,dispenser pans,spill containers,or other secondary containment areas;-nechaniral ar AmAronic line leak dete=rs;and in-tank ligwid bwm <br /> probes(if used fo-r k3&k defection). In the space peouided,note the data chis Site Ptsaf was prepared. <br /> Page 6 of 6 <br />
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