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COMPLIANCE INFO_2020
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0232519
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
2/25/2021 9:28:47 AM
Creation date
6/18/2020 4:30:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0232519
PE
2361
FACILITY_ID
FA0000483
FACILITY_NAME
BILLS 76
STREET_NUMBER
633
Direction
E
STREET_NAME
VICTOR
STREET_TYPE
RD
City
LODI
Zip
95240
APN
04321055
CURRENT_STATUS
01
SITE_LOCATION
633 E VICTOR RD STE A
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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UNDERGROUNDSTORAGETANK <br /> MONITORING SYSTEM CERTIFICATION FORM (Page 6 of 6) <br /> XVI. MONITORING SITE PLAN <br /> Date site map was prepared: <br /> /f 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 /> annularspaces or vault,4)devices monitoring productpiping;5)devices monitoring fillpiping;6)devices monitoring ventpiping;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 /> UST Nwitarslp Site Plan <br /> SiteAdtlreuc BILL'S 76 631£A 5T VICTOR RCAD LODI C 55240 <br /> 8. ., S. <br /> - 87 T 000 � <br /> .013FP a s <br /> . DE' 000 0 <br /> EAUDREAU DESIGNATION!.. I'---A . <br /> - - .DISP A I DI SP Na _ <br /> 0(DO 0 <br /> O <br /> F=FILL <br /> V=VAPOR <br /> P-YRORE <br /> T=TLRME <br /> S=SEISORLOCATION r*. <br /> .E IMP <br /> r..4—E'!'At11Y1 fA�T'i Nnt eisiMa rs riu cort(,{ting rr,irnirimr cma c - - +P(pn(„ - <br /> p,W=iontalopirsononband mazoi4-!brWfbrmmorulpopcu+: 1)rawVo C-ST�I�.. (AftR(7R51 <br /> ,lax to cede <br /> ont d aerF and <br /> da,ick Ls>cautaie <br /> ace CWW( <br /> spcellm blue <br /> Date map was drawn: pink <br /> Instructions <br /> IP you area--y nave a diagram that shaves alrequired inlormatlon.ycu nay mcluae n rather man this paQR WM yourMonitorng Sys*m CertiNcmion. on your i t plan, <br /> Shaw tree genery layounof tanks and prping. 1%rtlentdy locators ort efollawing egwpment,if instailed:mondacng system control panels;sensors mondomptank <br /> anrularspaoos sump:disaamar pans spit aantminers wither so_aniary conlavrmart arca: machaniealare''aImnic lino lest dalroms;andin-tank liquid loml <br /> prones(if used for teak detection). in the space prarkiel,note t•,e date this Site Plan was prepared. <br /> LEGEND <br />
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