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COMPLIANCE INFO_2019
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0506538
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
7/7/2021 9:05:30 AM
Creation date
9/22/2020 3:15:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0506538
PE
2361
FACILITY_ID
FA0007486
FACILITY_NAME
COUNTRY MARKETPLACE
STREET_NUMBER
1789
Direction
W
STREET_NAME
CHARTER
STREET_TYPE
WAY
City
STOCKTON
Zip
95206
APN
16337023
CURRENT_STATUS
01
SITE_LOCATION
1789 W CHARTER WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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UNDERGROUND STORAGE TANK <br />MONITORING SYSTEM CERTIFICATION FORM (Page 6 of <br />XVI. MONITORING SITE PLAN <br />Date site map was prepared: <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 />UST Monitoring Site Plan <br />Ske Address: 1789 W CHARTER WAY STOCKTON. CA <br />_irp• ltenn: rrrr€a-� -mord tlresm-s ncc aisiblc� trs tJ� cerri�iiw� txlntiticrrr ®-e cr <br />�a-gfessico-xtloprzerr ar��arrdca-e scdeh�fo-ir�'onnntiararlpng:cw-- Drm lira„ <br />rzotto sccde <br />*PIPING* <br />(E1RROIS�aj <br />Dnawing cf piping <br />exit sump and <br />UDC's. No <br />undergnoutd <br />dravrixg is <br />aconnate, W e <br />catanotspeatlate <br />b iue prints . <br />Dam map was drawn03t28d18 <br />Instructiorv- <br />H you already haves dta gramthat shows all required information, you mayindude @, ratherthan this page, whh yo ur tubnitoring System Certification. On your site plan, <br />show the general layout oftanks and piping. Clearly identify locations o fthe following equipment, if Installed: monitoring sWlem control pane is; sen sors monitoring tank <br />annular sp aces, sumps, dispenser pans, spill containers, or oche rseeondary containment a reas; mechanical or eleotron io line leak detectors; and in -tank liquid level <br />probes (if used for leak detection). In the space provided, netethe date this Site Plan was prepared. <br />r .m� <br />TV <br />f e;. <br />..._ . - <br />V <br />. . . . . . . . . <br />. <br />. . . . . <br />. . . . . . . . . <br />. . <br />. . . <br />. . . . . . . . . <br />. <br />. . . . . <br />. . . . . . . . . <br />. . . .. . . . . <br />. <br />. . . . . . <br />. . . . . . . . . <br />. <br />. . . . . <br />. . . . . . . . . . <br />. . . . . . . . . <br />. <br />. . . . . <br />. . . . . . . . . . . <br />. <br />. <br />. . . . . . . . . <br />. . . . . . . . . <br />. <br />. <br />. . . . . <br />. . . . . <br />. <br />. . . . . . . . . . . <br />. . . . . . . . . . . <br />. . . . <br />. <br />_irp• ltenn: rrrr€a-� -mord tlresm-s ncc aisiblc� trs tJ� cerri�iiw� txlntiticrrr ®-e cr <br />�a-gfessico-xtloprzerr ar��arrdca-e scdeh�fo-ir�'onnntiararlpng:cw-- Drm lira„ <br />rzotto sccde <br />*PIPING* <br />(E1RROIS�aj <br />Dnawing cf piping <br />exit sump and <br />UDC's. No <br />undergnoutd <br />dravrixg is <br />aconnate, W e <br />catanotspeatlate <br />b iue prints . <br />Dam map was drawn03t28d18 <br />Instructiorv- <br />H you already haves dta gramthat shows all required information, you mayindude @, ratherthan this page, whh yo ur tubnitoring System Certification. On your site plan, <br />show the general layout oftanks and piping. Clearly identify locations o fthe following equipment, if Installed: monitoring sWlem control pane is; sen sors monitoring tank <br />annular sp aces, sumps, dispenser pans, spill containers, or oche rseeondary containment a reas; mechanical or eleotron io line leak detectors; and in -tank liquid level <br />probes (if used for leak detection). In the space provided, netethe date this Site Plan was prepared. <br />r .m� <br />TV <br />f e;. <br />..._ . - <br />V <br />
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