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COMPLIANCE INFO 2001-2006
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PR0516736
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COMPLIANCE INFO 2001-2006
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Last modified
4/1/2020 11:52:22 AM
Creation date
11/8/2018 9:48:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2001-2006
RECORD_ID
PR0516736
PE
2361
FACILITY_ID
FA0012764
FACILITY_NAME
SAFEWAY FUEL CENTER #1769
STREET_NUMBER
2802
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
CURRENT_STATUS
01
SITE_LOCATION
2802 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Supplemental fields
FilePath
\MIGRATIONS3\C\COUNTRY CLUB\2802\PR0516736\COMPLIANCE INFO 2001-2006.PDF
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EHD - Public
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l <br /> Owner Statements of Designated Undergroune Tank(UST)Operator and Understandingof and Cor <br /> �e with UST Requiremrnts-continued <br /> ALTERNATE 1 O tional) <br /> Designated Operator's Name:Blake Hem <br /> Relation to UST Facility(Check One) <br /> Business Name(Ifdifferentfrom above):Gilbarco/Veeder-Root <br /> ❑ Owner ❑ Operator ❑ Employee <br /> Designated Operator's Phone#:951288-1519 ❑ Service Technician © Third-Party <br /> International Code Council Certification#:5249180-UC <br /> Expiration Date: 12/19/2006 <br /> ALTERNATE 2 (Optional) <br /> Designated Operator's Name:Cindy Padden Larson Relation to UST Facility(Check One) <br /> Business Name(Ifili ferentfrom above):Gilbarco/Veeder-Root <br /> ❑ Owner ❑ Operator ❑ Employee <br /> Designated Operator's Phone if: 160/947-1260 ❑ Service Technician ® Third-Party <br /> International Code Council Certification#:5243667-UC <br /> Expiration Date: 10/31/2006 <br /> ALTERNATE 3 (Optional) <br /> Designated Operator's Name:Darrell Riley Relation to UST Facility(Check One) <br /> Business Name(Ifdierent from above):Gilbarco/Veeder-Root <br /> ❑ Owner ❑ Operator ❑ Employee <br /> Operator's Phone#:619/206-8379 ❑ Service Technician © Third-Party <br /> International Code Council Certification#:5248975-UC Expiration Date: 12/13/2006 <br /> ALTERNATE 4 (Optional) <br /> Designated Operator's Name:Darren Austin Relation to UST Facility(Check One) <br /> Business Name(Ifdfferentfrom above):Gilbarco/Veeder-Root ❑ Owvner ❑ Operator ❑ Employee <br /> Designated Operator's Phone#:858/699-2751 ❑ Service Technician M Third-Party <br /> International Code Council Certification#:5250436-UC Expiration Date: 12/18/2006 <br /> ALTERNATE 5 (Optional) <br /> Designated Operator's Name:Eric Banghart Relation to UST Facility(Check One) <br /> Business Name(Ifdifferentfrom above):Gilbarco/Veeder-Root ❑ O"er ❑ Operator ❑ Employee <br /> Designated Operator's Phone#:310/467-2529 ❑ Service Technician ® Third-Party <br /> International Code Council Certification#:5250118-UC Expiration Date: 12/9/2006 <br /> ALTERNATE 6 (Optional) <br /> Designated Operator's Name:Ian Moorhead Relation to UST Facility(Check One) <br /> Business Name(Ifdifferentfrom above):Gilbarco/Veeder-Root ❑ Owner ❑ Operator ❑ Employee <br /> Designated Operator's Phone#:916/947-5285 ❑ Service Technician ❑x Third-Party <br /> International Code Council Certification#:5250115-UC Expiration Date: 12/15/2006 <br /> ALTERNATE 7 (Optional) <br /> Designated Operator's Name:Rayne Guttman Relation to UST Facility(Check One) <br /> Business Name(Ifdifferentfrom above):Gilbarco/Veeder-Root ❑ Owner ❑ Operator ❑ Employee <br /> Designated Operator's Phone#:951/850-2318 ❑ Service Technician ❑O Third-Party <br /> International Code Council Certification#:5245973-UC Expiration Date: 11/16/2006 <br /> ALTERNATE 8 (Optional) <br /> Designated Operator's Name:Ron Larson Relation to UST Facility(Check One) <br /> Business Name(Ifdii ferent from above):Gilbarco/Veeder-Root ❑ Owner ❑ Operator ❑ Employee <br /> Designated Operator's Phone#:760/947-1260 ❑ Service Technician O Third-Party <br /> International Code Council Certification#:5243829-UC Expiration Date: 10/31/2006 <br /> ALTERNATE 9 (Optional) <br /> Designated Operator's Name:Daniel Perez Relation to UST Facility(Check One) <br /> Business Name(Ifdifferentfrom above):Gilbarco/Veeder-Root ❑ Owner ❑ Operator ❑ Employee <br /> Designated Operator's Phone#:916/718-0139 ❑ Service Technician ® Third-Party <br /> International Code Council Certification#:5246161-UC Expiration Date: 11/30/2006 <br />
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