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REMOVAL 1999
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231136
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REMOVAL 1999
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Entry Properties
Last modified
6/5/2019 1:09:24 PM
Creation date
11/1/2018 4:43:19 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL 1999
FileName_PostFix
1999
RECORD_ID
PR0231136
PE
2361
FACILITY_ID
FA0003610
FACILITY_NAME
A&A GAS & FOOD MART
STREET_NUMBER
16
Direction
E
STREET_NAME
HARDING
STREET_TYPE
WAY
City
STOCKTON
Zip
95204
APN
13902001
CURRENT_STATUS
01
SITE_LOCATION
16 E HARDING WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
KBlackwell
Tags
EHD - Public
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02-18-1999 e9:OOPM FROM TO 14252518782 P. 11 <br /> L <br /> TANK CLCaAIE C8t71FiCAnoN FORM <br /> or <br /> ANC-.S atY <br /> n, iIK ov**R r waE <br /> K QwNER G1tY SQ2 STATE 5= aP <br /> BF INFORMATION <br /> Tarn t Rartrmadfe Vapor <br /> (Stato;Tank IOtt.if appfcabtc) oxygen <br /> Tap Cerner Boa= Top Cantu 8attom <br /> i <br /> a mioadon of the ink.1 certify the to*is tree*am pr==stodgrw scale(thin,flaky nes4ual of tank contanm).riawugt am deans. 1 itudter certify <br /> ttte Motmation pro ded herein is trt,e am ac=-ate m the best of tiny W10wier4ge. <br /> ' RER S STATUS OR AFr LIA-nON OF CERnFYING Pe4SON SOS i <br /> TIFNAME(PRI <br /> TlFIER TiTIE s6a Castifiec is s MMeser tivd Of U-4CUPAILW YES CO .NO ❑ <br /> 1ER <br /> Nanta of CtJFM LA <br /> KESS <br /> K caflirw Is oUW Trot CUPAAJA cnect apprupciaze brut below: <br /> tV� Q Certified 117�Ffygienist <br /> CEFR RED soe CZ:RnFr--TION TIME C3 Certified Safety nkat(CSP) <br /> Q Certified Mama C.cm=(cam <br /> i ❑ Req m d&..Wmmnt!He-Ah Spa-,Iiv(REFS) <br /> 0 P lP� <br /> I CJ Gass Il Registered EmlCarM�er:at gssetgor <br /> lJ t ZLB Oc&rtzed contaaoc(vnm hazardous cei&catel <br /> es Q No Tqm tam tea ftaa aWe or Combustible mav=ls. if res.the tarns interior <br /> indicator Moc to w-*being rxunducsad on d"tarrlc "K be ne diea�ea�.Ctt a wrtx�usnese gas <br /> lees sank manager i nl t tnsmxzions for scrap dra{er,d4p032l laofity.et-- <br /> i <br /> i <br /> A cflpY of t11ia cxrdfieate shalt acaatsparty ate LWK to the recyCrrt cfijp%W tacWty. <br /> i <br />
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