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COMPLIANCE INFO 2001-2006
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2300 - Underground Storage Tank Program
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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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ALTERNATE 3 (Optional) <br /> Designated Operator's Name:Blake Herness Relation to UST Facility(Check One) <br /> Business Name(Ifdii ferent f om above):Gilbarco/Veeder-Root ❑ Owner ❑ Operator ❑ Employee <br /> Designated Operator's Phone#:951-288-1519 ❑ Service Technician © Third-Party <br /> International Code Council Certification#:5249180-UC Expiration Date: 12-19-2006 <br /> ALTERNATE 4 (Optional) <br /> Designated Operator's Name:Danny Edmonds Relation to UST Facility(Check One) <br /> Business Name(Ifderent from above): Gilbarco/Veeder-Root ❑ Owner ❑ Operator ❑ Employee <br /> Designated Operator's Phone#:626-848-4490 ❑ Service Technician © Third-Party <br /> International Code Council Certification#: 5272034-UC Expiration Date: 11-08-2007 <br /> ALTERNATE 5(Optional) <br /> Designated Operator's Name:Eric Banghart Relation to UST Facility(Check One) <br /> Business Name(If differentfrom above): Gilbarco/Veeder-Root ❑ Owner ❑ Operator ❑ Employee <br /> Designated Operator's Phone#:310-467-2529 ❑ Service Technician © Third-Party <br /> International Code Council Certification#:5250118-UC Expiration Date: 11-09-2008 <br /> ALTERNATE 6(Optional) <br /> Designated Operator's Name:Darren Austin Relation to UST Facility(Check One) <br /> Business Name(Ifdi(ferent from above):Gilbarco/Veeder-Root ❑ Owner ❑ Operator ❑ Employee <br /> Designated Operator's Phone#:858-699-2751 ❑ Service Technician El Third-Party <br /> International Code Council Certification#:5250436-UC Expiration Date: 1 I-11-2008 <br /> ALTERNATE 7(Optional) <br /> Designated Operator's Name:Darrell Riley Relation to UST Facility(Check One) <br /> Business Name(Ifdierent from above):Gilbarco/Veeder-Root ❑ Owner ❑ Operator ❑ Employee <br /> Designated Operator's Phone#:619-206-8379 ❑ Service Technician OO Third-Party <br /> International Code Council Certification#:5248975-UC Expiration Date: 12-13-2006 <br /> ALTERNATE 8(Optional) <br /> Designated Operator's Name:Brain Ellsworth Relation to UST Facility(Check One) <br /> Business Name(If different from above):Gilbarco/Veeder-Root ❑ Owner ❑ Operator ❑ Employee <br /> Designated Operator's Phone#:707-815-2511 ❑ Service Technician ❑O Third-Party <br /> International Code Council Certification#:5263224-UC Expiration Date: 7-7-2007 <br /> ALTERNATE 9(Optional) <br /> Designated Operator's Name: Shane Flores Relation to UST Facility(Check One) <br /> Business Name(If diiferentfrom above):Gilbarco/Veeder-Root ❑ Owner ❑ Operator ❑ Employee <br /> Designated Operator's Phone#:408458-0354 ❑ Service Technician ❑O Third-Party <br /> International Code Council Certification#:5249001-UC Expiration Date: 12-12-2008 <br /> November 2004 <br />
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