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COMPLIANCE INFO_2021
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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PR0232519
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
3/9/2021 8:00:36 AM
Creation date
1/25/2021 4:33:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
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 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 /> UST MbFitoring site Plan <br /> SiteAddress= ENLL'S 7S G?3 EAST VECTOR ROAD LODI C 95244 <br /> 87 i 0 Ole ("," <br /> .p19P - - CH9a' - - - <br /> EAUdREAU USiGNATIOdt1 .. - . . . . . . . i <br /> . . . . . . . . . <br /> x 91 <br /> F--FILL <br /> T=Y4POLR <br /> F-FLARE - - - - <br /> T=Ti:REM <br /> T=&Eiti SOR LOCAT70N . . . . . . . . <br /> _E-STOP, <br /> AW ix undarLrouud tint m x t crsiile m rhe evrt&ing ie MiChN ac a iFTPI_ s <br /> p►RJa mnafapasonoMkrani ore E*?61ifarqrvrmMow1pwgm.&7 DFaptKg . . . . . ... . G M-5) <br /> .g6f140Seaf6 - G�ingefpipn_ <br /> LDC,. <br /> damiu-:s abw3a;=. <br /> Ls2 c2JHA <br /> spea Iwe bYz <br /> �. <br /> Dote m6ap wlta dr6lwls: <br /> Instructions fi <br /> IF you E1rea3q hiLv a diagram that shoos A required inSamation,you rray incline it rather than the page,MM ror�s Wniwnng Systyn;ertificefian. On your silo plan, <br /> shay the general laycu;of tan <br /> and prping.Ci_arly#errufy 9acatrams of i efollowirg equipment if installed:manAosmp ayshm o0mtrol p3ne5;sansars rnandanerQ Sank <br /> snmrmr spxas c umpc.dlG'pQnLGr pans spil c ow2inars or ofhor ca�ry cartlmenm"ft arcoc-ma hmniea l ar a:xtronia lino la7t Oato.etrs;mnd 6n43nk liquid 6aval <br /> probes(if used fca feakdeaecti)n). In the srweprwid-_j,nate the date lhlsSite Pian was prepared. <br /> Page 6 of 6 <br />
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