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COMPLIANCE INFO_PRE 2019
EnvironmentalHealth
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PR0504070
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
7/6/2020 4:40:53 PM
Creation date
11/4/2018 2:17:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0504070
PE
2381
FACILITY_ID
FA0006067
FACILITY_NAME
SJ OAK GROVE REGIONAL PARK
STREET_NUMBER
4520
Direction
W
STREET_NAME
EIGHT MILE
STREET_TYPE
RD
City
STOCKTON
Zip
95209
CURRENT_STATUS
02
SITE_LOCATION
4520 W EIGHT MILE RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\E\EIGHT MILE\4520\PR0504070\COMPLIANCE INFO PRE 2016.PDF
QuestysFileName
COMPLIANCE INFO PRE 2016
QuestysRecordDate
12/23/2016 7:46:06 PM
QuestysRecordID
85382
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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J U L 2 3 pan <br />INVENTORY RECONCILIATION FNVIRONMENTALHEP,LIH <br />QUARTERLY SUMMARY RffORT FORM <br />PERMIT/SERVICES <br />�7 <br />FaciliCy Nux���PL'y—�C� 1 �Llli&C� <br />iaeilicy Addresa: Lj�S�Ci(i(/ �Clt7 <br />Telephone: < <br />Person Filing <br />Reporc <br />�L hereby terrify under penalty of perjury Char all inventory variation - <br />the about a.enCioncd f+ciliry were wi[hin Chc allowable Bait■ for Chis <br />quarter. (No in COlu. 13of [hc lvvcn[ocy Reconciliation Sheet) <br />QInventory variations exceeded the aLlovable limits for this quarter, <br />bereby certify under penalty of perjury that the source for the variat <br />vis not due Co an unauchocized (leak) relcaae. (Yet in Cold 13 of the <br />Inventory Reconciliation Shccr) <br />Lint date, Caok 1, and amounC for all variations that exceeded C <br />allowable LimL'Ca. <br />Date Tank ! Amouar <br />0 <br />m <br />Additional daCes/amouoc5 chall be conCioued oo a aeparaCc aheeC <br />paper and aCtachcd. <br />LE Chc 30UCCC of Chc variaCion ..hich exceeded allowable limits was duc <br />a le■k Chc incident shall be reported to S.Q.L.H.D, EnvironacnCal 1 <br />WLChln 24 hours and an unauthorized release reporC submiC[ed_ <br />The quarterly summary report shall be Rubmittcd .+(Chin 1$ days of the end <br />quarter_ <br />
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