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BILLING PRE 2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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GRANT LINE
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574
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2300 - Underground Storage Tank Program
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PR0231405
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BILLING PRE 2019
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Entry Properties
Last modified
2/29/2024 1:16:56 PM
Creation date
10/26/2018 2:04:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231405
PE
2361
FACILITY_ID
FA0003164
FACILITY_NAME
NORTH POLE GAS & FOOD INC
STREET_NUMBER
574
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
574 W GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
KBlackwell
Tags
EHD - Public
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t <br /> WRITTEN I%IONITORXNG PROCEDURES `ORM <br /> UNDERGROUND STORAGE TANK MONITORING PROGRAM <br /> This m,)nitoring program must be i ept u the UST location at all tir:tes.The inforrnaticor,this monitoring program are <br /> conditions Of the optrating penniL The permit holder must notify qtj local a ejZ)NiVn 30 days of any changes to the <br /> monitoring procedures,unless rcquired to obtain approval before ma ng the ehangc. <br /> Rzquircd by Sections 2632(4)and 2641(h)CCR. <br /> Facility Name: <br /> Facility Address: - /✓ ' k,4*/7' itis . ei¢ • �S3 <br /> A. Indicate the frequency of monitoring: <br /> Tauk: " 4 � <br /> Piping: 2 p-s <br /> B. 'What methods and equipment, identified by name and mode, will be used for <br /> perfbrtrting the monitoring: <br /> Tanks: T LS ,30 ,V/ <br /> Piping: `T/_S 3_571 4: <br /> C. Describe the location(s) where the monitoring will be perfoed(facility plot plan <br /> 7 <br /> should be attached): <br /> T a C,�VAIMC <br /> a'WD'; E v{Si13 su r u rs,�� r� - <br /> D. List the name(s) and title(s) of the person responsible for monitoring and/or <br /> maintaining the aquipinent: <br /> E. Reporting format for monitoring- <br /> Tank: _._, L c.rl�`fi�1� _�P�,✓T r a.2.ue[r 1�� 3SD_ l',2�,✓T pti�S <br /> Piping: T4 S'-'12L-.P2iu r-Dan <br /> F. Describe the preventive maintenance schedule for the monitoring equipment. <br /> Note. Maintenance roust be in accordance with the manufacturer's maintenance <br /> schedule but not less than every 12 months. <br /> G. Describe the training necessary for the operation of UST sys m, including piping and <br /> monitoring egwiprnent. <br /> 60/90 39tid QOOd SV9 3N0 C 9L9L66860Z TB :ZB 613BZ/80/BT <br />
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