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COMPLIANCE INFO 2017 - 2018
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 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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KBlackwell
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EHD - Public
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4315 E Waterloo Rd <br />04/18/18 <br />Designated operator inspection report dated 4/3/18. <br />PR0231760 <br />PHOTO # <br />TANK V%I <br />Ab <br />•_ , l s i .S 1-s F r o r r 7! t! 1 F v .1 f' r -t t 1 t/ N t" • r <br />FaclhIN, Name.' Waterloo She)' <br />Name of'llest-onated l S V operator Conducting lnspection: Alex Jabbari <br />International Cede Cotjn. �l Certification No.: 5243897 -UC i Expiration Date: 101312018 <br />i��nature: .:�J Phone:X925; 3$9-1262 <br />item N10NITORING PANEL i ALARM HISTORY <br />..tI ..A At u.14 uI JJLv �i v ♦.1uu.II <br />Is the monitoring s% stem not currently showing- any leak alarms" <br />Is the Alarm Historn Reporulog for the previous month available, and has it been reviewed by the <br />Designated LST Operator? (Attach u copy 0 -[he alarm histo report:?og to this inspection form.) <br />4. Has each alarm for the previous month been responded to atmrooriateM <br />r ITQT QVQTTM 1NQ1P1VV'r1 1N <br />Are tank -top containment sumps tree of water, debns, and hazardous substance-.' Note: tf the answer to Item 4 was _-14 <br />skip to Item 6. Sumps is here an alarm has occurred in the past month must be inspected tf a y ified smiee technician has not reap <br />and hazardous substance? <br />k� <br />Aaron Hang, EHS Page 35 of 36 <br />
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