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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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FREDERICK
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2800 - Aboveground Petroleum Storage Program
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PR0530166
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BILLING
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Entry Properties
Last modified
11/2/2020 10:08:17 PM
Creation date
8/24/2018 6:21:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2800 - Aboveground Petroleum Storage Program
File Section
BILLING
RECORD_ID
PR0530166
FACILITY_ID
FA0006254
FACILITY_NAME
VISSER FARM
STREET_NUMBER
25200
Direction
S
STREET_NAME
FREDERICK
STREET_TYPE
AVE
City
RIPON
Zip
95336
APN
25726019
SITE_LOCATION
25200 S FREDERICK AVE RIPON
RECEIVED_DATE
11/01/2013
P_DISTRICT
004
QC Status
Pending
Supplemental fields
FilePath
\MIGRATIONS\F\FREDERICK\25200\PR0530166\BILLING\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
11/1/2013 8:00:00 AM
QuestysRecordID
2041565
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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��,�r SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT s <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)468-3433 Web:www.sjgov.org/ehd <br /> ABOVEGROUND PETROLEUM STORAGE PROGRAM SURVEY FORM <br /> Facility Name. <br /> S .S Page --L of <br /> Facility Address: City: Inapectl n a <br /> FA k: PR M: Program E ent: <br /> Z5I -PK02 cY <br /> Tank/Container Information <br /> Complete for all sites with cumulative aboveground storage of petroleum 21,320 gallons in tanks'and containers". <br /> Complete one box for each tank or each cumulative container product type. <br /> Tank (2820) ❑ Containers (2821) #of Containers: TA#: <br /> 1 Total Capacity: _gallons Product Type: 12� P PSh <br /> (per tank or cumulative for containers by product type) Install Date: <br /> ❑ Tank (2820) ❑ Containers (2821) #of Containers: TA#: <br /> 2 Total Capacity: gallons Product Type: <br /> (per lank or cumulative for containers by product type) Install Date: <br /> ❑ Tank (2820) ❑ Containers (2821) #of Containers: TA#: <br /> 3 Product Type: <br /> Total Capacity: gallons <br /> (per tank or cumulative for containers by product type) Install Date: <br /> ❑ Tank (2820) ❑ Containers (2821) #of Containers: TA#: <br /> 4 Total Capacity: gallons Product Type: <br /> (per tank or cumulative for containers by product type) Install Date: <br /> ❑ Tank (2820) ❑ Containers (2821) #of Containers: TA#: <br /> 5 Total Capacity: gallons Product Type: <br /> (per tank or cumulative for containers by product type) Install Date: <br /> Total Capacity this Page: roogallons Total Capacity for Site: gallons <br /> Comments: A10 — OW/✓,Ri G <br /> EHD InspeGoc Reviewed� , , ` Date: Entered Date:- r By Indial: vlf' By Inftial: <br /> 'Aboveground storage tank means a tank that has the capacity to store 55 gallons or more of petroleum. <br /> "Container means a storage device designed to be moved when full. <br /> EMD 28-01 AST SURVEY FORM <br /> 09112/08 <br />
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