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COMPLIANCE INFO_PRE 2019
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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PR0231532
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
10/5/2022 11:21:35 AM
Creation date
11/8/2018 9:47:10 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0231532
PE
2351
FACILITY_ID
FA0000185
FACILITY_NAME
CITY FOOD & LIQUOR
STREET_NUMBER
16470
STREET_NAME
CAMBRIDGE
STREET_TYPE
ST
City
LATHROP
Zip
95330
APN
19643032
CURRENT_STATUS
03
SITE_LOCATION
16470 CAMBRIDGE ST
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
KBlackwell
Supplemental fields
FilePath
\MIGRATIONS3\C\CAMBRIDGE\16470\PR0231532\COMPLIANCE INFO.PDF
QuestysFileName
COMPLIANCE INFO
QuestysRecordDate
10/22/2012 8:00:00 AM
QuestysRecordID
131132
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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vur our cvvv inV moi. ]q enx GVY406]4]] JJC CHU tQlvea/UIZ <br /> SAN JOAQMC6NNTy <br /> I`tiVIRONMENTAI 14EALM DEPARTMENT <br /> 600 East Main street,Stockton,Cafifornia 95202.3029 <br /> Telephone:(209)468-3420 Fars(209)468-3433 Web:www sjMv.0re/ehd <br /> UNDERGROUND STORAGE TANK US PROGRAM INSPECTION REPORT <br /> Fal name: 1 et <br /> Operator: Inap9cuon <br /> G-1 r- lb o Tol Date: <br /> Facility <br /> Faculty address: T 3 671 <br /> �C1J CA <br /> Feel Contact: TWO; Phi <br /> Momtannp Panty: Plping wow": <br /> V12 'ZLC 350 PMQK=ad 0Si� D OAlli picas on: <br /> Inapeetlon type; htattomcal O AudiWe/vhual <br /> ane Itod Cera6catlon O Installation ❑Olhaz: VIolMtom: <br /> 1-RDoted 0 M2.RPmv 0 M3 Both <br /> Code Section `/fOLATiON(S).HSC=Callfome Iea9h&Salary Code,C =Catifmm21 Code atRegutatmns v R <br /> V-Vlolaton;RV=Re eat Violate. v <br /> T HSC 25284 Permit to o rata <br /> 2 CCR 2637 Seconds contelnment test edorme+:l l da <br /> 3 CCR 2711 b 8 c Cuff UpHted Program,GonaoNdated Forms on fke with END Facit- and tank fomr <br /> 4 HSC 25292.2 Cer6ficatbn of 8nanelai resMilyandCF01ottor - <br /> 5 CCR 2832 b Monitodmwrinc 8 ReSPOMIG Plan Is curremartd approved by <br /> 8 OUR 2712 1 Wordfoiiri tan Is onsite. Bra Ibc2 a en <br /> 7 -CCR 2712 b Maintenance 8 moll records 1 I r <br /> S CCR28A1 - and . of auction e-Ja 1 TW4 - <br /> 9 HSC 25292.1 UST Is ted to M uneadrodzad release ' <br /> 10 2632 c 2 USTmoniforin stem is resent 1 <br /> 11 CCR 2630 d 1137 s stem mon{lod a at is local to detect a 1 <br /> 12 HSC 25291 6 U T a stem monkodn a at m is o ratlonal <br /> 13 2636 1 Confil monitod s tem for undo round 1 I &UDC s resent M <br /> 14 CCR 2631 a Prim contatnment H rodud it ht - <br /> 15 HSC 25291 a CM*OA rant for-41ST fa ht <br /> 16 CCR 2636 c 1 .AII rebasestn seconds flow b a coMecaon sum <br /> f 7 HSC 25291 Line leak ae- ffn s are Installed M1 <br /> 18 CCR 2835 b T S can or <br /> 19 CCR 2835 2 Overfill reventon s stem <br /> 20 CCR 2636 a) Canventonar sacam shaft have conthuoos monitors &2°containment <br /> 21- HSC 25291 ) Water M 2°containment anal ed& <br /> 22 CCR Recordd disposed of <br /> . rkn-of unautwdzed rebases Mt <br /> 23 CCR 2715 Des' ated 0 stator; a Statement UST owner, tris m b a hat <br /> 24 CCR 2638 a Annual monftodn cedi8cation 5 p <br /> 25 CCR 2638 a Annual line teak collector mot <br /> 26 HSC 25284.2 Annual spill containment testingM7 <br /> 27 CCR 2836 4 Aremeal,enreguremearel <br /> 28 CCR 2881 air for tank/ . ' tlaw had il I lieasleill <br /> . M7 <br /> 29 CCR 2843 e -Bbnnial ' tnass fast of i IWr"anuawy t 1984 M2 <br /> 30 CCR 2843 d Triennial line fast for conventional suction 1,1984 M7- <br /> 31 HSC 25292.5 Double wall s stem located wlihln t0pp'of ublic yell-ELD <br /> 32CCR2661- Permttto Sr tem <br /> 33 HSC 25288 a 8 b atermortttodn Miami <br /> 34 NSC 25298 ft Pe mRb 1 doge UST s <br /> 35 HSC 25296 c Permit to dose UST tem - <br /> 36 HSC 25299 Disabling leak detection devices <br /> e <br /> 37 - HSC25 Will abando mlew of USTSystem <br /> :WED <br /> Other: <br /> l Weigel <br /> Dsmes a tilt <br /> TIA.E: 0 Receives sham n uaitary waste <br /> `( , 9)heratslwsal thud - <br /> 13 MY wellslRarnch Desire <br /> tale2'dOM02 REV BMa <br />
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