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COMPLIANCE INFO 2002 - 2007
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231136
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COMPLIANCE INFO 2002 - 2007
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Entry Properties
Last modified
6/4/2019 4:53:11 PM
Creation date
11/5/2018 1:42:11 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2002 - 2007
RECORD_ID
PR0231136
PE
2361
FACILITY_ID
FA0003610
FACILITY_NAME
A&A GAS & FOOD MART
STREET_NUMBER
16
Direction
E
STREET_NAME
HARDING
STREET_TYPE
WAY
City
STOCKTON
Zip
95204
APN
13902001
CURRENT_STATUS
01
SITE_LOCATION
16 E HARDING WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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KBlackwell
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EHD - Public
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Jun 05 07 09:18a Elite Iv Contractors Inc 2094616342 P.1 <br />f� ... _ ............. _ .... � .. ,. � ...., . _ ....... _ 'TANKS <br />i <br />= <br />UNDERGROUND STORAGE TANKS -INSTALLATION- <br />CERTIFICATE OF COMPLIANCE <br />(j lane vase Pe* tank) i <br />1L INSTALLATION <br />/ [Check ail mer appoy% <br />it The instaier has been trained and certified by the tank and Aping manufachuers. <br />-8- The ins on has beesr ir4wcted and certified by a registered professions! engineer having education and <br />experience with underground storage tank itstalations_ <br />fl The its ort has been iiq>eded and appmved by the unified Program Agency- <br />41' - <br />gen y_11'- Al work fisted on the manutactuer's instaEatbn cheddsst has been complet <br />'tS The m2aler has been certified or 5crt s by the Corthact m State License Boam <br />• 12,-'/ The underground storage tank, any pnmary piping, and secondary containment was irk according to <br />appy vokuitary, consensus studs and w TWen mks irrsZagaWn procedures- Description of <br />work ting certified. <br />�. TANK OWt1tERlAGEM SIGNANRE <br />Fe gym3ttfri9—Ud b—mumad acral.b mrbetd nor %—AmdQe- <br />S)GAARRE OF TAW OVOIERWIGE i <br />L FACR- TY IDENTiMATtON <br />BUs"s mAmE ism a F R For D8w <br />MA.) <br />ILe m <br />FACJttN 1o. <br />, <br />T <br />1L INSTALLATION <br />/ [Check ail mer appoy% <br />it The instaier has been trained and certified by the tank and Aping manufachuers. <br />-8- The ins on has beesr ir4wcted and certified by a registered professions! engineer having education and <br />experience with underground storage tank itstalations_ <br />fl The its ort has been iiq>eded and appmved by the unified Program Agency- <br />41' - <br />gen y_11'- Al work fisted on the manutactuer's instaEatbn cheddsst has been complet <br />'tS The m2aler has been certified or 5crt s by the Corthact m State License Boam <br />• 12,-'/ The underground storage tank, any pnmary piping, and secondary containment was irk according to <br />appy vokuitary, consensus studs and w TWen mks irrsZagaWn procedures- Description of <br />work ting certified. <br />�. TANK OWt1tERlAGEM SIGNANRE <br />Fe gym3ttfri9—Ud b—mumad acral.b mrbetd nor %—AmdQe- <br />S)GAARRE OF TAW OVOIERWIGE i <br />nATE <br />fivk,v (,J/, <br />DJZ <br />
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