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COMPLIANCE INFO_2023
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231380
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
1/17/2024 2:01:17 PM
Creation date
8/24/2023 12:55:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0231380
PE
2361
FACILITY_ID
FA0000645
FACILITY_NAME
SHORT STOP FOOD MART
STREET_NUMBER
20
Direction
W
STREET_NAME
TURNER
STREET_TYPE
RD
City
LODI
Zip
95240
APN
04134015
CURRENT_STATUS
01
SITE_LOCATION
20 W TURNER RD # A
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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Underground Storage Tank <br /> Monitoring System Certification Form <br /> 10. MONITORING SITE PLAN <br /> Date site plan was prepared:9/18/2023 <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 /> Site Address= SHORT STOP FOOD MART—28 W TURNER LANE LOBI,CA <br /> 'WEST TITKNER MAD <br /> _3rfsusmsrrr���muzflir�xerrereal3is�b1e1o1ireoerl{�.irealac)aricrarvnaa - - . <br /> prqra75MW?Opiror mricre�oleh.fa rr urnxrfrvr�lprrrFas Drarirng <br /> dare <br /> M1 10 <br /> . . . . . . . . . . . . . CAS TANK <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . SEF BIE <br /> - STgSti1PSENSORS& F <br /> {N' AL S�'C541�S <br /> F=FILLS 1 S. <br /> r=V POR <br /> nu_— xi <br /> X=SMjP SENSOR - . . . . - . - . . - . . . - <br /> KUL <br /> . . . . . . . . . . . . . . F F Mm <br /> . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> . . . . . . . . . . . . . . . . . . . . . . . . . . . . <br /> TLSa96 <br /> . . . . . . . . STORE <br /> I <br /> If you already have a diagram that shows ail required infarmatian,you may include it rather than this page,gime)aur hfonHoHng Syste±n Certification. On your site plan, <br /> show tine general layout of tanks and piping. Clearly idenfify iocTlk?rs of the rolbwing equipment,-rf installed:mwrilowkQ system caeetrol panels;sensors monk ing tank <br /> annular spaces,sumps,dispenser pans,spill rnntainers,ar other secondary_arrtaoFmem areas;mechanical as e6eamnis line leak detaaars:and ir--iank liquid level <br /> probes(rf used for leak detection). In the space provided,note the d this Site PLM was prepared. <br /> Page 6 of 6 <br />
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