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COMPLIANCE INFO_2019
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0232519
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COMPLIANCE INFO_2019
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Last modified
11/22/2022 10:44:04 AM
Creation date
9/17/2020 2:16:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
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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UNDERGROUND STORAGE TANK <br /> MONITORING SYSTEM CERTIFICATION FOR o s) <br /> XVI . MONITORING SITE PLAN <br /> Date site map was prepared : FEB 2 9 ? Q19 <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 followin qqu�ti ent, <br /> if installed: 1) monitoring system control panels; 2) in-tank liquid level probes (if used for eiilis� irtank <br /> annular spaces or vault, 4) devices monitoring product piping; 5) devices monitoring fill piping, 'J vice oiling; 7) devices <br /> monitoring vapor recovery piping; 8) devices monitoring vent/transition sumps; 9) devices monitoring i pe 6r containment; 10) <br /> line leak detectors; and 11) devices monitoring any other secondary containment areas. <br /> UST Monitoring Site Plan <br /> r - - - -- -- - - - - - - - - -- - -- - - - --- -- - <br /> She Address: HILUS Ift 633 EASTVICTOR ROAD LODI C 95240 <br /> .WEST. <br /> .. . 8. _ . . . . 3. . . . . . . 4. . . . . . . . . _ . . <br /> 87 T 0 CD a G <br /> t _ <br /> DISP DISP <br /> . . _ 89. T � <br /> EAUDREAU DESIGNATION . . Y <br /> DISP DISP t#3 <br /> 91 x 000 0 <br /> ro i= \'NtJL.4R VENTS. . <br /> F=FILL <br /> V=t_�S�POR <br /> F=PROBE <br /> i T=TLRBIlVE <br /> S=5EPtSOR LOCATION <br /> ELSTOP <br /> Appy irents undsrgrour d that ars not Visible to ere cert ing wehnicimt are a <br /> i professional opinion on&* and ms sokLyfor frrfonnarfonalpraposss. Drawing & STORE . . . <br /> not to scala <br /> Date reap was drawn: <br /> Instructions <br /> If you already have a diagram that shows all required Information. you may include it, rather than this page, with your Monitoring System Certification. On your site plan, <br /> shah the general layout of tanks and piping. Clearly identify locations o€the following equipment, if Installed: monitoring system control panels; sensors monitoring tank <br /> annular spaces, sumps , dispenser pans, spill containers, or other seccraiary containment areas-, mechanical or electronic line leak detectors; and in-tank liquid levet <br /> probes (if used for leak detect:4n). In the spare provided, nate the date this Site Plan was prepared. <br /> LEGEND <br /> i <br />
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