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EHD Program Facility Records by Street Name
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17263
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2800 - Aboveground Petroleum Storage Program
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PR0529181
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BILLING
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Entry Properties
Last modified
11/26/2020 10:05:12 PM
Creation date
8/24/2018 7:42:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2800 - Aboveground Petroleum Storage Program
File Section
BILLING
RECORD_ID
PR0529181
PE
2840
FACILITY_ID
FA0003480
FACILITY_NAME
NISSEN DAIRY INC
STREET_NUMBER
17263
Direction
S
STREET_NAME
BRENNAN
STREET_TYPE
RD
City
ESCALON
Zip
95320
APN
22903013
SITE_LOCATION
17263 S BRENNAN RD ESCALON
RECEIVED_DATE
08-23-2013
P_DISTRICT
0004
QC Status
Pending
Supplemental fields
FilePath
\MIGRATIONS\B\BRENNAN\17263\PR0529181\BILLING\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
8/23/2013 8:00:00 AM
QuestysRecordID
2043548
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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r.. SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <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 /> b Page L of <br /> Facility Address: city: Inspect n D t <br /> '7 S D2 A A irk 27 6 <br /> FA C PR#: Progiram Element: <br /> 3 /� 80 1 o - a1 z <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 /> nk (2820) ❑ Containers (2821) #of Containers: TA#: <br /> 1 Total Capacity: �gallonsProduct Type: <br /> (per tank or cumulative for containers by product type) Install Date: <br /> El Tank (2820) R'-Containers (2821) #of Containers: TA#: <br /> 2 Product Type: _/X/,Q S'T67 Od <br /> Total Capacity: f f IJ gallons <br /> (per tank or cumulative for containers by product type) Install Date: <br /> ❑ Tank (2820) ❑ Containers (2821) #of Containers: TA#: <br /> 3 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 /> 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 /> 5Product Type: <br /> Total Capacity: gallons <br /> (per tank or cumulative for containers by product type) Install Date: <br /> Total Capacity this Page: gallons Total Capacity for Site: gallons <br /> Comments: <br /> Z® L <br /> EHD Inspector: �q. Reviewed Date: Entered Date: <br /> By Initial: l_a-)-- By Initial: ( 3 <br /> "Aboveground storage tank means a tank that has the capacity to store 55 gallons or more of petroleu . <br /> "Container means a storage device designed to be moved when full. <br /> EHD 28-01 AST SURVEY FORM <br /> 09/12/08 <br />
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