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COMPLIANCE INFO_2019
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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PR0231488
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COMPLIANCE INFO_2019
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Last modified
12/28/2021 5:31:32 PM
Creation date
9/8/2020 11:58:01 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0231488
PE
2361
FACILITY_ID
FA0003910
FACILITY_NAME
H&M - BW #98
STREET_NUMBER
2501
STREET_NAME
JACKSON
STREET_TYPE
AVE
City
ESCALON
Zip
95320
CURRENT_STATUS
01
SITE_LOCATION
2501 JACKSON AVE
P_LOCATION
06
P_DISTRICT
005
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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Monitoring System Certification <br /> UST Monitoring Site Plan <br /> Site Address , 2501 Jackson Ave . , Escalon <br /> CAS " <br /> . . . 00 9 . 4 . . . 04 , . . . . . . . . . . 4 . . . <br /> . 0 TLS 350 . . . 0 . . , . <br /> ESO . . . . . . . . . . . . . . . . . . . . . . . . <br /> 420 . . . RJ . . . . . . . . . . . . . . <br /> O <br /> 00 1,16:0565 <br /> . 107 ' . <br /> Regular <br /> : RJ EL <br /> 420 . 116.0565 ' o 0107 'Pfen]ium <br /> . . . . . . FI'oat Float ' <br /> & . & <br /> Chain Chain . <br /> Piping is estimated only. <br /> Date map was drawn : 07/29/2019 <br /> Instructions <br /> If you already have a diagram that shows all required information, you may, include it, rather than this page, with your <br /> plan , show the general layout of tanks and piping. Clearly identify <br /> Monitoring System Certification . On your site <br /> locations of the following equipment, if installed : monitoring system control panels ; sensors monitoring tank annular <br /> spaces , sumps , dispenser pans , spill containers , or other secondary containment areas ; mechanical or electronic line leak <br /> detectors ; and in-tank liquid level probes (if used for leak detection) . In the space provided, note the date this Site Plan <br /> was prepared . Page 1 of 1 05100 <br />
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