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COMPLIANCE INFO 2017 - 2018
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231760
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COMPLIANCE INFO 2017 - 2018
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Entry Properties
Last modified
8/21/2019 11:07:05 AM
Creation date
8/21/2019 9:40:18 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2017 - 2018
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
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EHD - Public
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4315 E Waterloo Rd PR0231760 <br />04/18/18 PHOTO # <br />Designated operator monthly inspection report dated 7/24/17. j <br />-- }' ., r rC�i T► �y�.. ice✓ f V <br />y <br />4-1-1. NJ A�Sic. t r N It �' I I'. M <br />Fae N$ N:1 I.: I�I:Ir�:ItOtiNl) ti l!)IZA(;1. 1 A <br />) )' t+•�;1 OI'h;KA'1'UIZ N'1ON'1'1iLY INS 1 RF;� (i>E2 <br />N%e 4ddreSS, Waterloo n.�• <br />Int of4eS hell Inspection Date: 7 /2412017 <br />_ --- -- <br />S ettlatlohal rbhated t r E. Waterloo Rd City: Stockton — — -- <br />Sj ~a <br />C o'jr C Perator Co �n , <br />hire, oUncil Cc 6 Inspection: Alex Jabbari _ ___ - <br />rt;tication No.: Expiration Date: 10/3/2018 <br />5243897 -UC <br />l tetter <br />1, – Phone: (925) 389-12fi2 <br />1g the -- - NIA = Not A livable <br />2 moni3O , s stem MONITORING PANEL/ALARM HISTORY Yes No N/A <br />.�. Is the tTtonitorin Owered on and in proper o eratin mode' <br />Is the filar s stem not current) showing <br />pes i rn History Re any leak alarms. <br />4 Hated UST P �f09 for the previous month available, and has it been reviewed by the <br />O erator? Attach u <br />lias each alarm For c'o y o the alarm history re ort/lobo this inspect ion form.) <br />the revious month been res onded to a ro riatel ^1010 1 0� <br />S- Are tank -to UST SYSTEM INSPECTION <br />p containment sump <br />tVA sk[P to Item 6• , mps free of water, <br />Sumps there an alarm h debris, and hazardous substance? Note. 1 rhe answer to Item a was <br />ta' and ro erly addressed, as occurred in the past month must he inspected if'a yual;fied .service technician has not responded <br />the catcse o the alarm. Doccuntentat;on Teri in x a w ro rime sen -it -i-, should be attached to this report. <br />Sum Location: Yes No l _ _ Yes No <br />Sump Location: Sump Location <br />6• Ares ill buckets (containment structures free Sum Location: <br />ater, debns, and hazardous substance? <br />Tank 1 ID — RejZular Yes No N/A _ Yes No N/A <br />Tank 2 ID — Premium Tank 3 1D — <br />Tank 4 ID - <br />7. Are under -dispenser containment areas free of water, debris, and hazardous substance'. <br />Yes No N/A I Yes No N/A <br />Dispenser — 1/2 Dis enser - 9/10 <br />Aaron Hang, EHS Page 21 of 36 <br />
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