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BILLING
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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AVENUE D
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6266
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2800 - Aboveground Petroleum Storage Program
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PR0529047
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BILLING
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Entry Properties
Last modified
10/30/2020 11:15:55 PM
Creation date
8/24/2018 6:05:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2800 - Aboveground Petroleum Storage Program
File Section
BILLING
RECORD_ID
PR0529047
PE
2840
FACILITY_ID
FA0016824
FACILITY_NAME
WHITE OAK FARMS
STREET_NUMBER
6266
STREET_NAME
AVE D
City
MANTECA
Zip
95337
APN
25705029
SITE_LOCATION
6266 AVE D MANTECA
RECEIVED_DATE
08-23-2013
P_DISTRICT
005
QC Status
Pending
Supplemental fields
FilePath
\MIGRATIONS\A\AVE D\6266\PR0529047\BILLING\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
8/23/2013 8:00:00 AM
QuestysRecordID
2043051
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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- SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> '-&0 East Main Street,Stockton,CA 95202-3020"` <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sjg0v.0rg/ehd <br /> ABOVEGROUND PETROLEUM STORAGE PROGRAM SURVEY FORM <br /> Facility Name: 7 S Page <br /> ARM <br /> FOf <br /> Gv r- oAK <br /> /� City: Inspection [e• <br /> Facility Address: I A p� D I',.— / / 2• "' ? <br /> FA#: CLf PR#: Progmm Element: <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 /> Co Tete 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) —�7—r <br /> PFroduct Type: <br /> Total Capacity: // 0 gallons Install Date: <br /> (per tank or cumulative for containers by product type) <br /> 1 <br /> ❑ Tank(2` _, .ontainers (2821) #of Containers: TA#: <br /> (>250 gallons) (>55 gallons and<250 gallons) <br /> 2 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 /> 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 /> q Product Type: <br /> Total Capacity: gallons Install Date: <br /> (per tank or emulative for containers by product type) <br /> ❑ Tank(2820) ❑ Containers (2821) #of Containers: TAM <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) h <br /> Total Capacity this Page: gallons Total Capacity for Site: / // gallons <br /> Comments: <br /> EHD Inspector.C Reviewed Date: ./ Entered Date: <br /> By Initial: w� i�.q.O T By initial: 102l <br /> EHD 28-01 <br /> 01/16/08 <br />
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