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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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PR0231574
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
1/27/2022 8:55:58 AM
Creation date
3/29/2021 11:28:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231574
PE
2361
FACILITY_ID
FA0002123
FACILITY_NAME
GREWALS GAS & LIQUOR*
STREET_NUMBER
4100
Direction
E
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95215
APN
14333046
CURRENT_STATUS
01
SITE_LOCATION
4100 E FREMONT ST
P_LOCATION
99
P_DISTRICT
002
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 />Site Address= ; GREWAIS 76 GASB LU1169 41M t=Rffk0W S1rREET STOCKTON CA 95215 <br />FREMONT STREET N <br />...... . .. .. . ...... . .. . <br />........... .. .. . . .. ............ .. . <br />..... .... ..... <br />........... ...... x ..... <br />...... F <br />. <br />.............................. <br />.. .. R - - . - . . - . . . . - . . - . - <br />- - .. - - - - .. <br />.. - <br />. ... . . .0 <br />. . . . . . . . . . . . . - - - - < - i�8 <br />. . - . - - . . . . - . .. <br />. . . . . . . . . . . . . . . . . L 7 - - - - - - . - . -.-- . ... . - . <br />. . . . . . . . . . . . . . . . . . - - - - - - _ _ - - - . ... . - . - - . - . . <br />........................ DE --.... .-. <br />- - - - - - - - - - - - - --- - - - - - - - - - - - - - - - - lay <br />. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . !i=A-NNTLAR <br />. .. . - - ' ' - - F = FILLS <br />- - - T=T RMNE <br />*PIPE; G = ' - P = PROLE <br />Ihauzna of Piping V =1'-iPOR <br />2dt oce sump aMdQTc X= SITkO 5E_T"ISOR <br />t,-EC's,'No L =Leak Detector <br />tmde3zround N'!=Akmvat c <br />;rangy is STORE S =$rine Seosar <br />4PgW'*-1ve I = Smart Sensor <br />Cannot speum5ate 5 — STP <br />b'Lte pnnts. C = Floats Chains <br />E Stup <br />APT ztsmz under'groundthat an noriwzHa to fide feoknarcian area <br />prgjea:io i opinion ons: an3ars snleh for r �{oran�ianalpavyarar. -Dvaw&W <br />lJor tosura <br />bate mar was drawl: 4-22-19 <br />Instruefions <br />!f you already have a diagram that shows ad required information. you may izicluda d, rather than this- page, witis your Monitoring System Certification. On your sfie plan, <br />show the ganerai layout of tanks and piping. CSeady n entity looattons o{ :he Fallowing equ3pmern. if installed' mon�toting system mtttral parcels; sensors monhar:ac ianx <br />annular spaces, surrips, dispenser pans, spill containers, or other seaotdary caniai:irie .t areas. mechar.ial ar ecuronio line leak detectors; and in -tank liqued leve <br />-robes (if used For leak detection). In the space provcded, nate the date Ns Site Par. was prepa.*ad. <br />Page 6 of 6 <br />
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