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ARCHIVED REPORTS XR0003533
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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COUNTRY CLUB
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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 58 FROM ERICKSON PAGE 005 <br /> DAY OR NIGHT ' CERTIFICATE NO. 20567 <br /> TELEPHONE --� <br /> (510) 235-1393 CERTIFIED SERVICES COMPANY CUSTOMER <br /> 255 Parr Boulevard • Richmond, California 94801 JOBNO <br /> 136 C; <br /> FOR TANK Na <br /> LOCATION �TCHzdM to _ DATE �ac_„a 4/fls TIME <br /> TEST METHOD _ LAST PRODUCT <br /> This is to certify that i have personally determined that this tank Is in accordance with the an <br /> Petroleum Institute and have found the conditlor� to be rr� aordance with its assigned d R. <br /> This certificate is based on conditions existMg at the me the Inspection herein set as <br /> completed and Is issued subject to compliance with all qualifications and Instructions <br /> TANK SIZE 8004TAN- JK CONDITION- SAFE FOR - <br /> REMARKS <br /> ERaCKSON, INC. HEREBY CERTIFIES TH2%T THE ABOVE NUMBERED TANK HA5 SE <br /> WASTE FACILITY <br /> ER1J=SnM NAS <br /> SHIPPED TO US FOR PROCESSING <br /> i <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 ail 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 MEN 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 i <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 Inspectors certificate <br /> SAFE FOR FIRE. Means that in the compartment so designated (a) The concentration of flammable materials in the <br /> atmosphere-is below 10 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, (c) 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 /> ecessary by the Inspector <br /> *SPFIESENtTAT�JVE <br /> sigtrled pr enlat�ve acknowledges receipt of this certificate and understan condui jr+s and limitations u der <br /> ssu Ui TITLE IN <br /> CP59C <br />
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