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COMPLIANCE INFO 1987-1993
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2300 - Underground Storage Tank Program
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PR0231482
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COMPLIANCE INFO 1987-1993
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Last modified
2/13/2024 11:44:38 AM
Creation date
9/12/2018 4:43:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO 1987-1993
FileName_PostFix
1987-1993
RECORD_ID
PR0231482
PE
2361
FACILITY_ID
FA0000720
FACILITY_NAME
MADSENS SUNRISE DAIRY
STREET_NUMBER
239
Direction
S
STREET_NAME
STOCKTON
STREET_TYPE
ST
City
RIPON
Zip
95366
APN
25927805
CURRENT_STATUS
02
SITE_LOCATION
239 S STOCKTON ST
P_LOCATION
05
P_DISTRICT
005
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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eLKNOLO <br />EN VIq ONME Ni <br />TANKNOLOGY CORPORATION INTERNATIONAL <br />5225 Hollister • Houston, TX 770406294 <br />Site 1-) - Lt, -( Facility # <br />Address ? ? <br />City/St <br />C i/ <br />LEAK DETECTOR REPORT <br />TANKNOLOGY MODEL # TLDT <br />SO# C � " <br />DATE <br />ZIP <br />SUbPU mp:RedJacket,Tokheim,Gilbarco, Bennett, DresserWayne,AOSmith,BowserKeene,SouthWest,Other <br />LEAK DETECTOR Identification_ <br />Red -Jacket Moi 18-030, PLD 2sec, Hex Head. Red-Jacket,Mod#118-017, DLD 231 Hex Head. <br />Red-Jacket,Mod#118-011A, DLD 53ec,Round Head. Tokheim Mod#585PM DLD 2sec Square Head <br />Tank <br />No. <br />Tank <br />Size <br />Product <br />Sub -pump <br />Manuf <br />LeakDetector <br />Mf Model <br />Serial <br />Number <br />PASS <br />FAIL <br />11.Existin <br />r.c <br />11.New <br />2.Existinc <br />Iz <br />2.New <br />I. <br />13.Existinc <br />I <br />13.New <br />I• <br />14.Existin <br />14.New <br />I• <br />15. Existin <br />15.New <br />I - <br />16.Existin <br />6. New <br />y <br />Print:: Certified Te/3ter1s1'Name Certification Number <br />Certified Testers Signature Forn:LD TEST 10/90 <br />;PEI <br />NKNOLOGY CORPORATION INTERNATIONAL <br />5225 Hollister St. • Houst�xas 77040-6294 • (713) 690-8265 • 1 (800) 888-8Fax: (713) 690-2255 <br />
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