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COMPLIANCE INFO_2023
Environmental Health - Public
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EHD Program Facility Records by Street Name
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BENJAMIN HOLT
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2300 - Underground Storage Tank Program
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PR0231021
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
1/4/2024 10:11:56 AM
Creation date
1/11/2023 11:02:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0231021
PE
2361
FACILITY_ID
FA0003625
FACILITY_NAME
ARCO STATION #83560*
STREET_NUMBER
2908
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
09763032
CURRENT_STATUS
01
SITE_LOCATION
2908 W BENJAMIN HOLT DR
P_LOCATION
01
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:1/17/2023 <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 /> MortiEering Syshm CerbTication <br /> UST Mon toning Site Plan <br /> Site Address: BERIAMMI HOLT ARCO 2905 BENJAMIN HOLTOR STOCKTON CA 95207 <br /> . . . . . . . . . . . <br /> STORE <br /> . . . . . . . . . . . . . . . . <br /> 87 O 81.iaea . . . . . a <br /> t O ATCr <br /> F <br /> X O420 .Vt. . <br /> 91 O O p _ . <br /> R <br /> Cxx"x <br /> x P <br /> T <br /> X X . . . . . . . . . . . . . . <br /> nmoluct Eieioa_. . Vapgr nod., <br /> T . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> x . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . x£� <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . =_�O-.NTLAR <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F—FILLS <br /> . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . T=TLFBTr-F <br /> P=PROBE <br /> C=C:IPOR <br /> ePIPM* X=5IJ_NIP SENSOR <br /> 6.UMOnS) L=Leek Detw tnr <br /> Dra inc of �I=JLntfar <br /> piiil exit0f B=Brine Sensor <br /> etsrp and'DC's. I=Smart Senior <br /> No zndxgr and S=STP <br /> da-in_is . . . . . . . . <br /> C=F1wG a@ Chains <br /> aectnte re itp therm utdvgiorarlthQare mar Vsibletothrcen{(kngrecMlaanaoa £_£Stop <br /> CarftK-V x date -CA rorol olir cpvo -'-a—raiokk-AW �orrrrtionlFrr�x Ll mrirg <br /> b Ls:Fes- W,ro xde <br /> Date map was cratm:P28.1g <br /> Instructions <br /> If you already nave a diagram that shows all requred information.yot xray in.lude rt rather than this page,with your Monitoring System Certification. On your site plan, <br /> show the general uyuut or tanks and piping. :.teaily den;ify"ioru of rhe tolluming egvipnent If Installed.monitoring syshem conuol panels;sensors monitoring tank <br /> annular spaces.sumps.dispenser pans.spill containers.or ocher s ca ndary nontamment areas.-mechanical or electone lire leak detectors and in-tank liquid leve+ <br /> probes_('d used for[eat derectonl. In:he spxe provided,note the date this Site alar was prepared. <br /> Page 6 of 6 <br />
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