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COMPLIANCE INFO_2002 - 2010
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2300 - Underground Storage Tank Program
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PR0231223
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COMPLIANCE INFO_2002 - 2010
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Last modified
12/16/2019 3:26:44 PM
Creation date
12/16/2019 1:48:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2002 - 2010
RECORD_ID
PR0231223
PE
2361
FACILITY_ID
FA0002324
FACILITY_NAME
Pacific Service Station
STREET_NUMBER
6131
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
09746418
CURRENT_STATUS
01
SITE_LOCATION
6131 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
KBlackwell
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EHD - Public
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Sep 02 10 10: 33a Elite IV Contactors 12094616342 p. l <br /> 4 <br /> ltliu <br /> (.�1.31 �C��•-��-�.�C��f l�C�z�1�. . <br /> DST SYSTEM RETROFIT GR REPAIR <br /> (Submit minimum of 3 sets of plans&applications as originals will'be retained by-EHD) <br /> 9_ ..Site map-enclosed? YES[] NO[I <br /> 2.. Submit copies.of ICC'Service Technician and/or Installer's certificate and all manufacturer training cerfificates for each J <br /> person installing or:tesiing any component that is repaired or replaced. Ensure a copy of the "Site Health and Safety <br /> Plan'is avaiiable on the jobsite as required by Tide& <br /> 3. Detailed.description of work to be completed. Ust.components to be repaired orieplaced.and.�-attach a diagram drawn <br /> to scale showing location of repairs andlorraplacements. If repairing a,component, ascribe how this wilt be dobe., (If.. . <br /> 'addiria•piping,:UDC's,'or other•US's equipment,•or.perforriivag tank lop upgrade; use.the.US7 installation Application <br /> pages 48'as-necessary fora timely plan <br /> review):- <br /> 7 <br /> 77 <br /> it <br /> 4. List of equipment to be used(Attach.manufacturer's specification sheets showing 3hird-party approval): <br />
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