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COMPLIANCE INFO 2004-2006
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0518624
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COMPLIANCE INFO 2004-2006
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Last modified
3/10/2021 4:46:00 PM
Creation date
11/5/2018 11:19:48 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2004-2006
RECORD_ID
PR0518624
PE
2371
FACILITY_ID
FA0024496
FACILITY_NAME
Costco Wholesale #38 (Gas Station)
STREET_NUMBER
1630
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
Ln
City
Stockton
Zip
95210
APN
09428011
CURRENT_STATUS
01
SITE_LOCATION
1630 E Hammer Ln
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HAMMER\1630\PR0518624\COMPLIANCE INFO 2004-2006.PDF
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EHD - Public
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ALTERNATE7 <br /> Designated Relation to UST Facility(Check One) <br /> Onerator'qNnnic., Clarinda Olson <br /> Business Name ❑ Owner ❑ Operator ❑ Employee <br /> !t ' o.oRel.chire Fnvironmen tnl Servir ine <br /> Designated ❑ Service Technician ® Third-Party <br /> Onemtnr'q (9491460-5200 <br /> International Code <br /> Council Certification#:5244506-UC Expiration Date: 10/13/06 <br /> ALTERNATE8 <br /> Designated Relation to UST Facility(Check One) <br /> Onerattir's Name- Glen Vandeirveen <br /> Business Name ❑ Owner ❑ Operator ❑ Employee <br /> i ReRhire Rinvironmental Serv' inr <br /> Designated ❑ Service Technician ® Third-Party <br /> tk, 'c vtiene t! MAA)4611-5 <br /> International Code <br /> Council Certification#: 5227167-UC Expiration Date: 01/16/06 <br /> ALTERNATES <br /> Designated Relation to UST Facility(Check One) <br /> Onerator's Name, T)elnniq Rock <br /> Business Name ® Owner ❑ Operator ❑ Employee <br /> f f .ncten Whnlpqnle Ciarnarntion <br /> Designated ❑ Service Technician ❑ Third-Party <br /> (425)427-7653 <br /> Intemational Code <br /> Council Certification#:5236638-UC Expiration Date: 06/22/06 <br /> ALTERNATE8 <br /> Designated Relation to UST Facility(Check One) <br /> Business Name ® Owner ❑ Operator ❑ Employee <br /> (rr i ntf.nm nh ) CnqtrnWhnlPQnlP.C.nrnnratioIn <br /> Designated ❑ Service Technician ❑ Third-Party <br /> Phone 5 <br /> Intemational Code <br /> Council Certification#:5236685-UC Expiration Date:July 2006 <br /> ALTERNATE8 <br /> Designated Relation to UST Facility(Check One) <br /> OneratoT'.q Name- Dwight Larsell <br /> Business Name ® Owner ❑ Operator ❑ Employee <br /> ti nition <br /> Designated ❑ Service Technician ❑ Third-Party <br /> Phnne;4-(4251313-694.5 <br /> International Code <br /> Council Certification#:5238523-UC Expiration Date:July 2006 <br /> Page 2 of 2 <br />
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