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COMPLIANCE INFO 2004-2007
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0521942
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COMPLIANCE INFO 2004-2007
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Last modified
9/25/2019 9:18:31 AM
Creation date
11/2/2018 8:12:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2004-2007
RECORD_ID
PR0521942
PE
2371
FACILITY_ID
FA0014921
FACILITY_NAME
RANCHO SAN MIGUEL MARKET*
STREET_NUMBER
1427
Direction
S
STREET_NAME
AIRPORT
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
16902016
CURRENT_STATUS
01
SITE_LOCATION
1427 S AIRPORT WAY
P_LOCATION
02
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
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\MIGRATIONS\A\AIRPORT\1427\PR0521942\COMPLIANCE INFO 2004-2007.PDF
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EHD - Public
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A.fforda-Test <br /> 416 2nd Street UST Facility <br /> Galt, Ca. 95632 Employee Training Forth <br /> 209 744-0112 800 524-9087 Fax 20j`744-0116 <br /> Training Date ! ?2 / D> <br /> Site Name j41 <br /> Address Trainee Name �—: 4e�a TYo,-LA <br /> CityHire Date <br /> UST System Operations <br /> 1.The types and locationsof file taNcs at That station <br /> 2.The type and operation of.the leak detection system <br /> 3. Pot Mectronic monitorg,daily monitoring alarm log <br /> Hazardous Materials Management(Hazardous Materials Managem'htfausiness Plan) <br /> 1.Whet materials at the station are hazardous with respect to the fueling station <br /> P.HP+N these ttraterials are handled, stored and disposed of <br /> 3.What Material Safety Data Sheets (MSDS)are and where they are kept at the station <br /> Spill and Leak Response(Spilt Response Plan)_ <br /> 1. Location of spill response equipment ' <br /> 2.Location of spill or leak contact list,reporting procedures <br /> 3.Location Of emerge ncy.fuel$hut-offswltch/s <br /> 4. t acafiori of any fire extinguishers <br /> Invantory Recanclilaton <br /> I• importance of inventory control <br /> 2. fictlow-up'cifgasoline inventory overage/shortage(variance) <br /> 3.Reporting pnd maintaining inventory records <br /> t2ecord <br /> 1Location won W ipre r ti'aintenapce,monitor,testing,wastes, Inspections, inventory, permits training,eta.) <br /> : here records pro kept <br /> 2. Types of records maintained at the facility/length of time each-record should he kept <br /> I acknouriedge that I have received and understand environmental compliance training in the above areas: <br /> Employee Signature: <br /> Date: as .D7 . <br /> Managers Signature: E> 2 .K;"� <br /> -- _ — — Date: <br /> Designated Operators Signature: Date: 6 ,Z Z -T)- 7 <br />
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