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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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MCKINLEY
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16888
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2300 - Underground Storage Tank Program
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PR0232523
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
8/27/2021 10:47:29 AM
Creation date
9/28/2020 7:52:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0232523
PE
2361
FACILITY_ID
FA0003833
FACILITY_NAME
Super Store Industries - Grocery Division
STREET_NUMBER
16888
STREET_NAME
MCKINLEY
STREET_TYPE
Ave
City
Lathrop
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
16888 McKinley Ave
P_LOCATION
07
P_DISTRICT
003
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 <br /> 10. MONITORING SITE PLAN <br /> Date site plan was prepared: <br /> If a site plan has been prepared that shows all required information, you may include it, rather than this page, <br /> with your Monitoring System Certification Form. The site plan must show the general layout of tanks and <br /> identify locations of the monitoring panel, and all leak detection equipment and monitoring locations. Include <br /> a legend for all symbols depicted. <br /> Ede Address_ SUPER STONES INDUSTRIES 468$8 WKINLEY AVENUE LATHRdP CA 95330 <br /> - - . ... . . . . .. . . . . . . . . . - . . . . . . . . . . . . . . . . . . . . . . . . . . *PIPLNG= <br /> DIESEL= _ I F 1 { F I nlcsFi Ihaia pi <br /> ping <br /> J-2 . - . . . . . . . . . . . . . exit of sump and <br /> . . . . . - . . . . . . . . . . UDC'S.-.,\o <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . undsrgroand <br /> . . . . . . . . . . . . . . . . . . . . . . . dra%mig ie <br /> accrual,�.iR <br /> cattttat iLs. to <br /> _ _ _ _ _ blue punts. <br /> - - - - - - - - - - - - - . _ . . _ . <br /> L <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> ... - - <br /> . . . . . . . ) L NEW QfL_ - - . . - -USED Q.IL. .. . _ . . . . _ .. . <br /> _ - - - - - - . . T-3— . S-4 . . . _ . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . A . . . . . <br /> - - - - - - - - - - - - <br /> - - . . . - - . . . . . . . . . . <br /> F F <br /> . . . . <br /> . . . . .. CC(Da 4ENT5- . - . . . . . .. . . . . . . . . .. . . - . . - . . - . <br /> .1l2_ - - <br /> - - . . . . . . . . . . . - - - - . - . <br /> . . . _ _ . _ . . . . A=,L5t7lILhR Senaow <br /> . . . . . . - . . . . F=FMLs <br /> . . _ . . - F=VAPOR <br /> g .aa P=PFME <br /> L=Turhine;Leak Detector <br /> I=SLIN IP SENSOR <br /> . . . _ _ . _ . . _ . . . E=$rine Sensor <br /> . . . . . . . . . - . . - . . . 5=SomartSeasor <br /> - - - - - - - - C=Fiaa�&Chains <br /> h0 PROBES ONT} SF . . - . . - . . . . ATG E=£Stop <br /> T-k.'tiFi3 <br /> A*-ireaa r1Md4g7mazl1ha este tru lisrble ra flu cer7[,(mg 1wir dare ere a <br /> 1 -4*.Tl--P-P---- 'SUC{—--?4'ft-rr,G7T1Arri�1Q��1rR�i1G5�_Dr-1 MY <br /> M1 70 sC2de <br /> Date map oras drawn:10192r20 <br /> Instructions <br /> If you already have a diagram that shows A required information you may inelude d.rather than this page.with your frlanitodng System Oertification. On your she plan, <br /> show the general layout O tanks and pipirp. Gleady identify bcaisrins of lhefollowing equspmerrt,if installed:monitoring system eontrcel panels;sensors monitareg lank <br /> annular spaces,samps,dispenser pans,spill containers,or other secondary containment areas:mechaTibal or ebectronic line leak dete ars;and in-tapir liquid level <br /> probes{if used for imak deflection). In the space provided,note the data this Sim Plaro was prepar=d. <br /> Page 6 of 6 <br />
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