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BILLING_PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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GOLDEN VALLEY
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17287
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2800 - Aboveground Petroleum Storage Program
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PR0528596
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BILLING_PRE 2019
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Entry Properties
Last modified
3/15/2019 9:09:30 AM
Creation date
8/24/2018 6:26:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2800 - Aboveground Petroleum Storage Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0528596
PE
2840
FACILITY_ID
FA0019225
FACILITY_NAME
LATHROP STORM DRAIN M-5
STREET_NUMBER
17287
STREET_NAME
GOLDEN VALLEY
STREET_TYPE
PKWY
City
LATHROP
Zip
95330
APN
19170007
CURRENT_STATUS
02
SITE_LOCATION
17287 GOLDEN VALLEY PKWY
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
WNg
Supplemental fields
FilePath
\MIGRATIONS\G\GOLDEN VALLEY PKWY\17287\PR0528596\BILLING\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
10/12/2015 4:34:52 PM
QuestysRecordID
2046347
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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SAN JOAQUIN COUNTY <br /> z ENVIRONMENTAL HEALTH DEPARTMEN <br /> X600 East Main Street,Stockton,CA 95202-30�r <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 /> T o CIT oF s 7'o IV 171-A)d M- .- Page ! of I <br /> Facility Address: City: Inspect' Date: <br /> 3 2 S Go LvEAl 1/a&� ti <br /> �y fAWX LA Rop z a <br /> FA#: PR#: Proiraim Element: <br /> PP 0 6a a6-z ' 1 P 2 8 Ll d <br /> Tank/Container Information <br /> Comple 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 <br /> Tank(2820) ❑ Containers (2821) #of Containers: Tom <br /> 1 #: <br /> (>250 gallons) (>55 gallons and<250 gallons) <br /> Product Type: p JL/ <br /> Total Capacity: � 0 v gallons Install Date: <br /> (per tank or cumulative for containers by product type) <br /> ❑ Tank(2820) ❑ Containers(282 1) #of Containers: TAM _ <br /> (>250 gallons) (>55 gallons and<250 gallons) <br /> � 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: TAM <br /> (>250 gallons) (>55 gallons and<250 gallons) <br /> 3 Product Type: <br /> Total Capacity: gallons <br /> (per tank or cumulative for containers by product type) Install Date: <br /> ❑ Tank(2820) ❑ Containers (282 1) #of Containers: TAM <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 (282 1) #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) <br /> Total Capacity this Page: gallons Total Capacity for Site: (J G gallons <br /> Comments: <br /> 6 FV <br /> EHD Inspector: Reviewed Date: ./ Entered t /� Date: n <br /> By Initial: � aro- <br /> J`� By Initial: <br /> v� <br /> EHD 28-01 <br /> 01/16/08 <br />
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