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COMPLIANCE INFO_2020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2800 - Aboveground Petroleum Storage Program
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PR0515783
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
6/12/2020 3:48:22 PM
Creation date
2/6/2020 9:13:09 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2800 - Aboveground Petroleum Storage Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0515783
PE
2832
FACILITY_ID
FA0010944
FACILITY_NAME
BROWN SAND INC
STREET_NUMBER
800
Direction
W
STREET_NAME
MOSSDALE
STREET_TYPE
AVE
City
LATHROP
Zip
95330
APN
23903008
CURRENT_STATUS
01
SITE_LOCATION
800 W MOSSDALE AVE
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\dsedra
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EHD - Public
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Site Address:800 W MOSSDALE AVE Record ID# PRO515783 <br /> Date of Inspection:02/05/2020 Program:2832 APSA <br /> PHOTO 1:The Professional Engineers attestations are not co <br /> PM rized Facility <br /> iakm <br /> *presentative: Robert Brown <br /> Title: President <br /> Z' <br /> Signature: <br /> Date: f r <br /> 1.2 Professional Engineer's Certification (40 CFR 112.3(d)) <br /> I hereby certify that I have examined the facility, and being familiar ti to rc <br /> of 40 CFR part 112, attest that this SPCC Plan has been prepared ,n cora nee <br /> good engineering practices. <br /> Engineer: A. Lee Delano Qp^tESSIo,. <br /> Signature: �",t,cf �� % <br /> Registration NUD%4' RCE 422339 Ew a410lf 4 <br /> State: California cvr, <br /> Date: October 15, 2010 OFC <br /> Staff Person Name, Cesar Ruvalcaba Page 1 of 16 <br />
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