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COMPLIANCE INFO_2022
Environmental Health - Public
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EHD Program Facility Records by Street Name
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6131
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2300 - Underground Storage Tank Program
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PR0231223
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
12/1/2022 9:17:13 AM
Creation date
1/11/2022 1:18:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0231223
PE
2361
FACILITY_ID
FA0002324
FACILITY_NAME
PACIFIC SERVICE STATION
STREET_NUMBER
6131
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
09746418
CURRENT_STATUS
01
SITE_LOCATION
6131 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
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 /> UST Monitoring Site Plan <br /> Site Address: SYNERGY-MOE'S PACIFIC 6131 PACIFIC AVENUE STOCKTON CA <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . <br /> C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> C . . . CL <br /> . . . . . . . . . . . . . . . . . . . . . . <br /> O . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . 87 O . . . . . . . <br /> x <br /> T <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . OO <br /> L <br /> . O� x <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . OO . . . . . <br /> L <br /> . . . . . . . . . . . . . . DIE O x . . . . . . <br /> KEY . . . . . . . . . . . . . . . x . . . . . . . <br /> A=nNNtn.nR Sensor . <br /> F=FILLS . . . . . . . . . . . . . . . . . . . . . . . TL . . . . . . . . . <br /> V=VAPOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> P=PROBE . . . . . . . . I . . . . . . . . . . . . . . x . . . . . . . . . . . <br /> L=Turbine/Leak Detector . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . <br /> X=SUP SENSOR . . . . . . . . . . . . . . . . . . . . . . . . .. . . . *PIPING* <br /> M <br /> B=Brine Sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Drawing of piping <br /> S=Smart Sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . exit of sump and <br /> C=Floats&Chains c`tis <br /> UDC's.No <br /> E=EStop rnctFrc nveNue underground <br /> drawing is <br /> accurate,we <br /> Any items underground that are not visible to the certifying technician are a cannot speculate <br /> professional opinion only and are solely far informational purposes. Drawing blue prints. <br /> not to scale <br /> 1 <br /> Date map was drawn:8/11/21 1 <br /> Instructions <br /> If you already have a diagram that shows all required information,you may include it,rather than this page,with your Monitoring System Certification. On your site plan, <br /> show the general layout of tanks and piping. Clearly identify locations of the following equipment,if installed:monitoring system control panels;sensors monitoring tank <br /> annular spaces,sumps,dispenser pans,spill containers,or other secondary containment areas;mechanical or electronic line leak detectors;and in-tank liquid level <br /> probes(if used for leak detection). In the space provided,note the date this Site Plan was prepared. <br /> Monitoring System Certification Page 4 of 4 2/21/07 <br /> Page 6 of 6 <br />
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