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ARCHIVED REPORTS XR0000767
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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CAMBRIDGE
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16470
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3500 - Local Oversight Program
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PR0544155
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ARCHIVED REPORTS XR0000767
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Last modified
2/15/2019 3:50:06 PM
Creation date
2/15/2019 2:02:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0000767
RECORD_ID
PR0544155
PE
3526
FACILITY_ID
FA0000185
FACILITY_NAME
CITY GAS & LIQUOR
STREET_NUMBER
16470
STREET_NAME
CAMBRIDGE
STREET_TYPE
ST
City
LATHROP
Zip
95330
APN
19643032
CURRENT_STATUS
02
SITE_LOCATION
16470 CAMBRIDGE ST
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
WNg
Tags
EHD - Public
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MAINTENANCE RECORD , <br /> -)ate Project No 77CH 95775 02 0550 <br /> Technician Station No Chevron 9 5775 ' <br /> PART i SVEIGWE SYSTEM S <br /> MONTHLY QUARTERLY f , <br /> Clean sampling points Initial - - - - - <br /> Yes No Action Yes No ' <br /> Anyieaks? <br /> Any rattles? '- <br /> Excessive noise? <br /> Indicator lights out? �� ' <br /> Autodialer working? r System automatic shutdown <br /> activated? <br /> Any debris? L� ' <br /> Did above activate <br /> Abnormal wear and tear? autodiatel-7 <br /> Inspect-&cfean samp"points(?) - <br /> Db level taken? <br /> (db 0 10 ft = ) <br /> ti line filter dirty? � <br /> ' <br /> Any faulty gauges? Other? <br /> Other? <br /> PART 2.TREATMENT COMPOUND ' <br /> MONTHLY QUARTERLY <br /> Yes No Action ' <br /> Fence/gate inspected? Treatment compoundjmhmWm1Baned? es No <br /> Security light operation tested? Yes No ' <br /> Prop 65 sign posted? <br /> Emergency sign posted? <br /> Air permit posted? <br /> Discharge permit pasted? <br /> Fire extiitguisher on site? <br /> Site Safety Plan posted? <br /> • <br /> 11Chevron1957751Field Services Reques[lO&Mt7AIA Sheet dor ' <br />
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