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ARCHIVED REPORTS XR0003533
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2575
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2900 - Site Mitigation Program
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PR0541989
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ARCHIVED REPORTS XR0003533
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Entry Properties
Last modified
6/21/2019 8:29:56 PM
Creation date
6/21/2019 3:56:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003533
RECORD_ID
PR0541989
PE
2950
FACILITY_ID
FA0024100
FACILITY_NAME
COUNTRY CLUB VALERO
STREET_NUMBER
2575
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12302012
CURRENT_STATUS
01
SITE_LOCATION
2575 COUNTRY CLUB BLVD
P_LOCATION
01
QC Status
Approved
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EHD - Public
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SEP 1 ' 95 10 56 FROM ERICKSaN <br /> PAGE 003 <br /> DAY OR,NIGHT C E R T T F F C A T F N O. 2 0 5 6 5 <br /> TELEPHONE CUSTOMER <br /> (5:0) 235-1393 CERTIFIED SERVICES COMPANY Nyr.-T — <br /> 255 Parr Boulevard • Richmond, California 94801 JOB NO <br /> i <br /> FOR TANK NO ^n� <br /> LOCATION DATE. TIME 14 - 29 <br /> _ _ _ LAST PRODUCT <br /> TEST METHOD -�-- <br /> This is to certify that I have personally determined that this to k is in accordance with the American <br /> petroleum Institute and have found the condltiory to be In a ordance with its assigned designation <br /> This certificate is based on conditions exis g at the me the inspection herein set forth was <br /> completed and is issued subject to compliance with all qualifications and instructions <br /> TANK SIZE CONDITION__ S FF FOR FTRP <br /> REMARKS. <br /> ERICKSON, INC HEREBY CERTIFIES THAT THE ABOVE NUMBERED TANK HAS SEEN <br /> VVn T <br /> WASTE FACILITY, <br /> SHIPPED TO US FOR PROCESSING <br /> In the event of any physical or atmospheric changes affecting the gas-free conditions of the above tanks, or If In any doubt, <br /> immediately stop all hot work and contact the undersigned This permit is valid for 24 hours if no physical or atmospheric <br /> changes occur <br /> STANDARD SAFETY DESIGNATION <br /> SAFE FOR MENS Means that in the compartment or space so designated (a) The oxygen content of the atmosphere is at least <br /> 19 5 percent by volume, and that (b) Toxic materials in the atmosphere are within permissable concentrations, and (c) In the <br /> judgment of the inspector, the residues are not capable of producing toxic materials under existing atmospheric conditions <br /> while maintained as directed on the Inspector's certificate <br /> SAFE FOR FIRE Means that in the compartment so designated (a) The concentration of flammable materials in the <br /> atmosphere is below 14 percent of the lower explosive limit, and that (b) in the judgment of the Inspector the residues are <br /> not capable of producing a higher concentration that permitted under existing atmospheric conditions in the presence of fire <br /> and while maintained as directed on the inspector's certificate, and further (e) All adjacent spaces have either been cleaned <br /> sufficiently to prevent the spread of fire, are satisfactorily inerted, or in the case of fuel tanks, have been treated as deemed <br /> nec by the Inspector <br /> i� <br /> 7A�PRESENTATIV u rsig ed r pr entavve acknowledges receipt of this certificate and understa condUland limitations, t�dsr <br /> was su <br /> TITLE <br /> WNSECTOR <br /> c?Sf <br />
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