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COMPLIANCE INFO_2020
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231348
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COMPLIANCE INFO_2020
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Last modified
12/10/2020 3:41:35 PM
Creation date
7/6/2020 12:55:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0231348
PE
2361
FACILITY_ID
FA0003803
FACILITY_NAME
KETTLEMAN CHEVRON
STREET_NUMBER
601
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04728006
CURRENT_STATUS
01
SITE_LOCATION
601 E KETTLEMAN LN
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 ENVIRONMENTAL HEALTH <br />Date site map was prepared: ",rP4PTMF7N, T <br />If 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 />annular spaces or vault; 4) devices monitoring product piping; 5) devices monitoring fill piping; 6) devices monitoring vent piping; 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 />Site Address I ETIIJMMNCE EMM 601 XFTIIJMMNLANELODI CA 95210 <br />. x t EE <br />n. _ _ . . - . <br />T <br />= 4xiCL..Ut Sensor <br />91 O .. ......3: 8. DP <br />F=Fn Ls <br />O OC =PROBE <br />P =PROBE <br />DIE L = Turbine + Leak Deteemr <br />. . . . . 10)O F = SCT%1P SENSOR <br />(51 B = Brine Sensor <br />O O S = Smart Sensor <br />. . . _ C = Floats A Clsains <br />0 O 0 E=ESoop <br />+P1PL\G,1 ell, <br />OVERFILL ec area <br />(-IRROWS) C-STORE <br />Dra1.ciaE of pip= <br />exit of sump and <br />UDC's. No <br />undemound <br />dnn'ing i <br />accurtz, pure <br />cannot speculate Any items underground that are not itisible to the certiMog technician are a <br />bice p¢'rns' professional opinion only and are solek for informational purposes. Drawing not to <br />i scale. <br />Date map was drawn: 7/21/201 <br />Instructions <br />If you already have a diagram that shows all required information, you may include a. rather than this page. with your Konnoring System Certification. On your sne plan. <br />shay, the general layout of tanks and piping. Clearly identify k>cabons of the following equipment, it installed: monitoring system control panels; sensors moniloringriank <br />annular spaces, sumps. dispenser pans. spill containers. or other secondary containment areas: mechanical or electronic fine teak detectors and in-tank liquid level <br />probes (it used kr leak delectonl. In the space provided. note the date this Site Plan was prepared. <br />LEGEND <br />
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