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REMOVAL_1988
EnvironmentalHealth
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PR0501782
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REMOVAL_1988
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Entry Properties
Last modified
4/1/2020 11:52:43 AM
Creation date
11/2/2018 6:23:33 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
1988
RECORD_ID
PR0501782
PE
2381
FACILITY_ID
FA0005220
FACILITY_NAME
CHEVRON #9-4054
STREET_NUMBER
2103
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12308029
CURRENT_STATUS
02
SITE_LOCATION
2103 COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\C\COUNTRY CLUB\2103\PR0501782\REMOVAL 1988.PDF
QuestysFileName
REMOVAL 1988
QuestysRecordDate
11/7/2012 8:00:00 AM
QuestysRecordID
113134
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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UNDERGROUN ANK PROGRAM OFFICIAL INSPE <br />--SAN JOAQUIN HEALTH DISTRICT <br />1601 E. HAZELTON AVE. <br />COUNTY NAME STOCKTON, CA 95205 <br />PHONE NO. 468-3423 <br />'TION REPORT <br />♦. <br />COUNTY # 39 <br />SITE NAME: � <br />INSPECTION DATE: <br />SITE ADDRESS: 103-dGt�rR <br />/G��SC�i <br />C'�GCB <br />CITY/STATE/ZIP <br />CHANGES SITE/OWNER/PERMIT? YES KID <br />FORM A AND/OR B SUBMITTED? <br />TANK <br />GOMPUTFR <br />TANK <br />COMPUTER <br />TANK <br />COMP <br />R <br />TANK <br />CQYPUT <br />NUMBE <br />PER # <br />EXP. DATE <br />NUMB,- <br />PER # 7 <br />EXP. DATE <br />NUMBER <br />PER #� <br />EXP. DAT <br />�' <br />R <br />PER <br />EXP. DATE <br />TYPE OF IN PECTION <br />s:194 -p-1 <br />SITE COMPUTER # <br />V <br />OPERATIONhL TANK TANK COR Nis <br />MAJOR MINOR' <br />PERMIT TO OPERATE 1 2 <br />CHANGE IN CONDITIONS TO OPERATE 3 4 <br />APPROVED CONSTRUCTION 5 6 <br />WRITTEN MONITORING PROCEDURES 7 8 <br />_ <br />APPROVED MONITORING SYSTEM 9 10 <br />MONITORING SYSTEM 11 12 <br />_ <br />APPROVED MONITOR FREQUENCY 13 14 <br />MONITORING RECORDS MAINTAINED 15 16 <br />ACCESS CASING SECURED 17 18 <br />PIPING 19 20 <br />INVENTORY RECONCILIATION 21 22 <br />TANK GAUGING 23 24 <br />APPROVED RESPONSE PLAN 25 26 <br />UNAUTHORIZED RELEASE OCCURRENCE 27 28 <br />_ <br />SAMPLING 29 30 <br />APPROVED TANK REPAIRS 31 32 <br />UNAUTHORIZED RELEASES REPORTED 33 134 <br />SAFETY HAZARD 35 36 <br />CONDITIONS ABATED 37 <br />TEMPORARY TANK CLOSURE <br />REMOVAL OF RESIDUAL <br />FLAMMABLE VAPORS REMOVED <br />ACCESS LOCATIONS SEALED <br />W4445 <br />POWER DISCONNECTED <br />OWNER/OPERATOR MONITORING <br />PERMANENT TANK CLOSURE <br />REMOVAL OF RESIDUAL MATERIALS r46 47 <br />PIPING 48 49 <br />FLAMMABLE VAPORS REMOVED 50 <br />UNAUTHORIZED RELEASE 51 52 <br />SAMPLING 53 54 <br />IMPROPER ABANDONMENT 55 56 <br />THE MARKED TEEMS REPRESENTT VIOLLAATIONS ND MUST <br />BE COR TED AS <br />SYSTEM STATUS (MUST MARK ONE) <br />MAJOR 57 MINOR 58 NO (,j59 <br />VIOL El VIOL ❑ VIOL. WJ <br />FOLLOWS: <br />OFFICE: <br />INSP: <br />RECEIVED BY: <br />TITLE: <br />PHONE: <br />RECK: <br />HUT -3 <br />r — <br />ORIGINAL <br />5/88 C <br />
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