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COMPLIANCE INFO_2021
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231764
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
10/10/2022 8:23:27 AM
Creation date
4/19/2021 9:15:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231764
PE
2361
FACILITY_ID
FA0002160
FACILITY_NAME
BlackHawk Petroleum Inc.
STREET_NUMBER
5611
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
08710052
CURRENT_STATUS
01
SITE_LOCATION
5611 E WATERLOO RD
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 (Paye 6 of 6) <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 /> Sae Address TIGER EXPRESS N C-ELTA Ea--S=_WATERLOO STOCKTON CA 95215 <br /> . . . . . . . . . . . . . . . . . . . . . . . . . _ _ . . <br /> . . . . . . . . . . . . <br /> . . . . . _ . . . . _ <br /> T <br /> . . . .. . . . .. . . . . . <br /> TLS *YIFIti G= <br /> (3RI;illrsS) <br /> �x',t oFsruup itsd <br /> r T UDC's._2�a <br /> . . . . . _ . . . . _ x �aatmg is w-cwzate_ <br /> . . . . . _ . . _ . _ wee€aunt€ <br /> . sgen�at=_�F to <br /> . . . . . . . _ . _ . . . . _ . . _ _ . . . . . prints. <br /> . . . . . . . . . . . . . . . . _ . _ . . . . . _ . . . 1 <br /> . A=inr1<ALn Sensor <br /> . . . . . . . . . . . . . . . _ . . . . _ . . . . . _ . . . F=FELLS <br /> �'=VAPOR <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ _ . . <br /> . . . _ , _ _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . P=FFtOI3E <br /> L=ltwhh-e i Leaklgm*e env <br /> X=SM OP SENSOR <br /> B=abrins 5eosar <br /> S=Smart Sensor <br /> . . . . . . . . . . . . . E—Estop <br /> _4lRtdans rrnwti3grareedrircx mar may tiisf.6la rn oho ear7{j(�Yngfer�eiaaenre ora n <br /> Frgfassrca�oFaraavvor raPadmasolv�i e4ri miratrrrrlFrrr�sPs. Drawing <br /> rnaf fo scde <br /> Date nap was drawn 7:21 iHj <br /> ws"ac uns <br /> P.you already have a diagram that shows all req ufmd fntormarbri.you may fnefude$rather Man rMt page,with your h{onfmring System GertdcFa on_ On your site pfan, <br /> =_how the genera i layout of tanks and piping. C;aariy idenfffy locations of the FolFowing equfprnern,'tf installed-,rr►oendtornrg system oostroi:a:nels;sensors monMering lank <br /> annular spaces,sumps,dslpenser pans,spiiff corta.iners,or other se i. dary containment areas mecha..imf or eL-dronfc tine Peak dmlmmrs;and*-tank ffqu6&fevei <br /> prvhes(it used For teak detection). ler the space prowd�d,note the date 9his Site Plan was prepa+ed. <br /> LEGEND <br />
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