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BILLING_PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2800 - Aboveground Petroleum Storage Program
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PR0529239
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BILLING_PRE 2019
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Entry Properties
Last modified
2/17/2021 3:30:40 AM
Creation date
8/24/2018 6:04:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2800 - Aboveground Petroleum Storage Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0529239
PE
2840
FACILITY_ID
FA0003373
FACILITY_NAME
BYLSMA, JAMES DAIRY
STREET_NUMBER
24065
Direction
E
STREET_NAME
ARTHUR
STREET_TYPE
RD
City
ESCALON
Zip
95320
APN
22907010
SITE_LOCATION
24065 E ARTHUR RD ESCALON
RECEIVED_DATE
08-22-2013
P_DISTRICT
004
QC Status
Pending
Supplemental fields
FilePath
\MIGRATIONS\A\ARTHUR\24065\PR0529239\BILLING\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
8/22/2013 8:00:00 AM
QuestysRecordID
2042680
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMEN" <br /> X600 East Main Street,Stockton,CA 95202-3022 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sjgov.org/ehd <br /> ABOVEGROUND PETROLEUM STORAGE PROGRAM SURVEY FORM <br /> Facility Na m e: x t .0w10 <br /> '(71 'K` Page of <br /> o <br /> Facility Address: City: Inspecda Date: <br /> 2 Ukrb 15T e_ P/ / 26 0 <br /> FA#: PR#: Program Element: <br /> 3373 P 6_'R 8'23 T z S <br /> Tank/Container Information <br /> Complete for all sites with cumulative aboveground storage of petroleum 21320 gallons in tanks and containers over 55 gallons. <br /> Complete one box for each tank or each cumulative container product type. <br /> Tank(2820) ❑ Containers (2821) #of Containers: TA#: <br /> (>250 gallons) (>55 gallons and<250 gallons) <br /> 1 Product Type: <br /> Total Capacity: S�y gallons Install Date: <br /> (per tank or cumulative for containers by product type) <br /> �fank(2820) El Containers (2821) #of Containers: TA#- <br /> (>250 gallons) (>55 gallons and Q50 gallons) <br /> 2 Product Type: <br /> Total Capacity: 6 U gallons Install Date: <br /> (per tank or cumulative for containers by product type) <br /> ❑ Tank(2820) ❑ Containers(2821) #of Containers: TA#: <br /> (>250 gallons) (>55 gallons and<250 gallons) <br /> 3 Product Type: <br /> Total Capacity: gallons Install Date: <br /> (per tank or cumulative for containers by product type) - <br /> ❑ Tank(2820) ❑ Containers (2821) #of Containers: TA#: <br /> (>250 gallons) (>55 gallons and<250 gallons) <br /> 4 Product Type: <br /> Total Capacity: gallons Install Date: <br /> (per tank or cumulative for containers by product type) <br /> ❑ Tank(2820) ❑ Containers (2821) #of Containers: TA#: <br /> (>250 gallons) (>55 gallons and<250 gallons) <br /> 5 Product Type: <br /> Total Capacity: gallons Install Date: <br /> (per tank or cumulative for containers by product type) -- <br /> Total Capacity this Page. goo gallons Total Capacity for Site: S p o gallons <br /> Comments: <br /> <� Z0 Arm <br /> EHD Inspector: Reviewed ` , _'v Date: Entered Date: <br /> By Initial: � c1 By Initial: D <br /> EHD 28-01 A <br /> 01/16,/08 <br />
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