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ARCHIVED REPORTS XR0003325
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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DA VINCI
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4627
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2900 - Site Mitigation Program
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PR0543804
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ARCHIVED REPORTS XR0003325
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Entry Properties
Last modified
6/28/2019 3:28:14 PM
Creation date
6/28/2019 2:34:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0003325
RECORD_ID
PR0543804
PE
2950
FACILITY_ID
FA0024907
FACILITY_NAME
7-ELEVEN STORE #20632
STREET_NUMBER
4627
STREET_NAME
DA VINCI
STREET_TYPE
DR
City
STOCKTON
Zip
95207
CURRENT_STATUS
01
SITE_LOCATION
4627 DA VINCI DR
P_LOCATION
01
QC Status
Approved
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EHD - Public
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DAY <br /> EPHONNIGHT CERTIFICATE <br /> TE!) 236-1 9 NO. 28473 <br /> ` '°' 3 -'asp CERTIFIES] SERVICES COMPANY <br /> CUSTOMER <br /> 255 Parr Boulevard . Richmond California 94801 <br /> • JOB N4 <br /> ECt f MANESS <br /> FOR ERICKSON INC TANK NO 24266 <br /> LOCATION RICHMOND,CA DATE 10mm TIME11 03 28 <br /> TEST METHOD V`SUAL G4STECI-11131.1 SMPfd <br /> [.AST PRODUCT UG <br /> FFPetroleum <br /> to certify that I have personally determined that this tank is In accordance with the American <br /> Institute and have found the condition to be in accordance with Its assigned designation <br /> rtificate is based on conditions existing at the time the inspection herein set forth was <br /> ped and is issued subject to compliance with all qualifications and Instructions <br /> TANK SIZE 10,000 GALLON TANK CONDITION SAFE FOR FIRE <br /> REMARKS OXYGEN 20 LOWED F-VI-OSI` E. I.II<111T LESS THAN c 1%ERICK:Ctj, IpIC HERBY CERTIFIES THAT THE <br /> ABOVE NUMBERED TANK HAS BEEN CUT OPEN,PROCESSED,AND THEREFORE DEz-TROYED AT oup <br /> NERMITTED HA7-ARDOu3,NA.STE FACIr!rr <br /> ERICKSON, INC HAS THE APROPRIATE PERMITS FOR,AND HASACCEPTED THE TANK SHIPPED TO+JE <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 MEN Means that in the compartment or space so designated (a) The oxygen content of the atmosphere Is at least <br /> 195 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 flarnmable 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 (c) All adjacent spaces have either been cleaned <br /> sufficiently to prevent the spread of fire, are satisfactorily inerted, or ih the case of fuel tanks, have been treated as deemed <br /> necessary by the inspector <br /> T e u 'd Ighed represen ati ,gcknowledges receipt of this certificate and understands th conditions and Itatlons under <br /> w211ch t w 5 issued <br /> R PRESE ATIVE _ <br /> TITLE IIVSi CTon <br /> ,ST d ti by6 ON I�3`Wdb2 S —6661 6 d <br />
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