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REMOVAL_1990
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0503436
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REMOVAL_1990
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Entry Properties
Last modified
12/20/2019 1:53:49 PM
Creation date
11/2/2018 6:59:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
1990
RECORD_ID
PR0503436
PE
2381
FACILITY_ID
FA0002327
FACILITY_NAME
STOCKTON GOLF & COUNTRY CLUB
STREET_NUMBER
3800
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
10902006
CURRENT_STATUS
02
SITE_LOCATION
3800 W COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
Scanner
KBlackwell
Supplemental fields
FilePath
\MIGRATIONS\C\COUNTRY CLUB\3800\PR0503436\REMOVAL 1990.PDF
QuestysFileName
REMOVAL 1990
QuestysRecordDate
11/7/2012 8:00:00 AM
QuestysRecordID
113617
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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PHS-EHD - UNDER® JND TANK CLOSURE/ABANDONN,,f INSPECTION <br /> (SHADED AREA TO—BE FILLED IN FOR THE FIRST TANK ONLY) <br /> ,y OWNER NAME <br /> E OWNER PHONE # <br /> N CONTRACTOR <br /> E CON. PHONE# <br /> R SJLHD PERMIT # EFA # <br /> A FIRE PERMIT # Z <br /> L <br /> INSPECTOR <br /> R RINSEDMETHOD <br /> I RINSE AMUUNT <br /> N RINSATE DISPOSAL SITE <br /> S <br /> E MANIFEST <br /> -OR- OTHER _ <br /> V VAPORS PURGED Y N) METHOD ,r ;_, <br /> A AMOUNT USED <br /> p L. E. L. READING AT REMOVAL (MUST BE ( 20%) <br /> ° `f �occ <br /> T R COMMENTS <br /> A <br /> N TANK MATERIAL TE <br /> K C . FIBERGLASS, OTHER) TANK SIZE / c`� / <br /> / 0 TANK CONDITION (GO <br /> N OOR HOLES) <br /> S F'IF'E MATERIRL (STEE FIBERGLASS, OTHER) it FEET <br /> P T ✓L� _� <br /> I PIPING CONDITION GOOD, POOR, HOLES) <br /> N -41ll U✓z2��d <br /> G DEPTH SOIL TYPE OBSERVATION <br /> T Iolod��� SAMPLE # <br /> F A <br /> I <br /> N 11 F + D 4�c J e v-) <br /> E K w Gt QST <br /> L P <br /> D .�EXCAVATION SIZE: X / X i <br /> S YDS OF SOIL: <br /> I A DEPTH SOIL TYPE OBSERVATION <br /> N M P SAMPLE it <br /> S P I p <br /> F' L P <br /> E I E <br /> 0 N <br /> T G TRENCH DIMENSION X <br /> I X YDS OF SOIL <br /> 0 H DEPTH TO G. FT <br /> N SAMPLING ME' _ <br /> G # OF HOURS SINCE DEWATERING: <br /> 0 OTHER SAMPLE: <br /> LABORATORY: <br /> SAMPLERS NAME: <br /> CLOSURE IN PLACE MIXTURE: <br /> VOLUME: / <br /> EH 3043 ( 10/89) DRAW SITE MAP ON REVERSE <br />
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