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COMPLIANCE INFO 2014 - 2016
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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PR0231760
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COMPLIANCE INFO 2014 - 2016
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Entry Properties
Last modified
8/21/2019 10:50:53 AM
Creation date
8/21/2019 9:39:01 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2014 - 2016
RECORD_ID
PR0231760
PE
2351
FACILITY_ID
FA0003831
FACILITY_NAME
WATERLOO FOODMART
STREET_NUMBER
4315
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215-2305
APN
08710034
CURRENT_STATUS
01
SITE_LOCATION
4315 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
KBlackwell
Tags
EHD - Public
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} <br />UST SYSTEM RETROFIT OR, REPAIR <br />(Submit minimum of 3 sets of plans & applications as originals wiil'be retained by EHD). <br />1. Site map enclosed? YES [j NO[] <br />2: Submitcopies-of ICG_ Service. Technician and/or Installer's certificate and.all-manufacturer.tra(ning Gcrtfoate5fnreach,._ <br />person installing or testi? g any component that is repaired or replaced: Ensure_ a copy of the "Site Health and Safety <br />Plah" Is.avatlable.on the obslte..as.reguired b, Title 8. <br />3. Detailed description of work'to.be completed. List components to berepaired or replaced and attach a diagram drawn <br />to scale showing location 'of repairs and/or replacements. If repairing a component, describe how this will be done: (If <br />pdding piping, UDC's, or other UST equipment, or performing tank top upgrade, use the UST Installation Application <br />pages 4-8 as necessary for a timely plan review): <br />4. List of equipment to be used (Attach manufacturer's speclficatlon sheets showing third -party approval): <br />
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