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COMPLIANCE INFO 2005 - 2009
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231435
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COMPLIANCE INFO 2005 - 2009
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Last modified
8/7/2019 3:13:32 AM
Creation date
8/6/2019 2:20:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2005 - 2009
RECORD_ID
PR0231435
PE
2361
FACILITY_ID
FA0000916
FACILITY_NAME
7-ELEVEN INC #19976
STREET_NUMBER
1399
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21633034
CURRENT_STATUS
01
SITE_LOCATION
1399 N MAIN ST
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
KBlackwell
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EHD - Public
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ONwper Statements of* Designated Underground Storage Tank (UST) Operator and Understanding of and Comnliance with UST Requirements — continued <br />ALTERNATE I (Optional) <br />Designated Operator's Name: Kevin Watermolen <br />Relation to UST Facility (Check One) <br />❑ Owner ❑ Operator ❑ Employee <br />❑ Service Technician OO Third -Party <br />Business Name (If different fi•om above): Gilbarco Veeder-Root <br />Designated Operator's Phone #: 916-212-7973 <br />International Code Council Certification #: 5250470 -UC <br />Expiration Date: 12-21-2008 <br />sl TFRNATE 2 (0 tionah <br />Designated Operator's Name: Jessica Tuttle <br />Relation to UST Facility (Check One) <br />❑ Owner ❑ Operator ❑ Employee <br />❑ Service Technician IZI Third -Party <br />Business Name (If different from above): Gilbarco Veeder-Root <br />Designated Operator's Phone #: 831-537-7663 <br />International Code Council Certification #: 5286530 -UC <br />Expiration Date: 07-03-2008 <br />AI.TERNATE 3 (ODtional) <br />Designated Operator's Name: Jim Palmer <br />Relation to UST Facility (Check One) <br />❑ Owner ❑ Operator ❑ Employee <br />❑ Service Technician 121 Third -Party <br />Business Name (If different from above): Gilbarco 1/ceder-Root <br />Designated Operator's Phone M 831-840-5235 <br />International Code Council Certification M 5254109 -UC <br />Expiration Date: 12-15-2008 <br />ALTERNATE 4 (ODtional) <br />Designated Operator's Name: Brian Ellsworth <br />Relation to UST Facility (Check One) <br />❑ Owner ❑ Operator ❑ Employee <br />❑ Service Technician 0 Third -Party <br />Business Name (If different from above): Gilbarco Veeder-Root <br />Designated Operator's Phone #: 707-815-2511 <br />International Code Council Certification #: 5263224 -UC <br />Expiration Date: 7-7-2007 <br />ALTERNATE 5 (nntional) <br />Designated Operator's Name: Aaron Celaya <br />Relation to UST Facility (Check One) <br />❑ Owner ❑ Operator ❑ ' Employee <br />❑ Service Technician 0 Third -Patty <br />Business Name (If different fiom above): Gilbarco Veeder-Root <br />Designated Operator's Phone #: 510-364-0385 <br />International Code Council Certification M 5246905 -UC <br />Expiration Date: 01-20-2009 <br />ALTFRNATE 6 (nntional) <br />Designated Operator's Name: Dennis Smith <br />Relation to UST Facility (Check One) <br />❑ Owner ❑ Operator ❑ Employee <br />❑ Service Technician 0 Third -Party <br />Business Name (If different from above): Gilbarco Veeder-Root <br />Designated Operator's Phone #: 336-315-2895 <br />International Code Council Certification #: 5230685 -UC <br />Expiration Date: 7-25-2008 <br />
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