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ARCHIVED REPORTS_XR0009216
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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P
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PERSHING
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4501
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3500 - Local Oversight Program
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PR0545651
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ARCHIVED REPORTS_XR0009216
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Last modified
5/6/2020 11:47:58 AM
Creation date
5/6/2020 11:28:49 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
ARCHIVED REPORTS
FileName_PostFix
XR0009216
RECORD_ID
PR0545651
PE
3528
FACILITY_ID
FA0002479
FACILITY_NAME
7-ELEVEN INC #17334
STREET_NUMBER
4501
Direction
N
STREET_NAME
PERSHING
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11017004
CURRENT_STATUS
02
SITE_LOCATION
4501 N PERSHING AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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AY OR <br /> DTELEHONETCERTIFICATE R NO. 29069 <br /> (510) 235-1393 CERTIFIED SERVICES COMPANY CUSTOMER <br /> 255 Parr Boulevard - Richmond, California 94801 <br /> JOB NO <br /> MANESS <br /> FOR <br /> ERICKSON, INC TANK NO 23549 <br /> RICHMOND,CA 9115158 1 17 46 PM <br /> LOCATION, DATE TIMI= <br /> VISUAL GASTEGH11314 SMPN DG <br /> TEST METHOD LAST PRODUCT <br /> This is to certify that I have personally determined that this tank Is in accordance with the American <br /> Petroleum Institute and have found the condition to be in:31�eordance with its assigned designation, <br /> This certificate is based on conditions existing at the tirhe the inspection herein set forth was <br /> completed and is Issued subject to compliance with all qualifications and instructions, <br /> TANK SIZE 10,006 C%AI.L-ON TANK CONDITION dAAFE FOR FIRE <br /> REMARKS OXYGEN 20 90A LOIAER EXPLOSWE LIMIT LESS THAN 0 1%ERICKSON, INC HERBY CERTIFIES THAT THE <br /> ASOVS NUMBERED TANK HAS BEEN CUT OPEN,PROCESSED AND THEREFORE DESTROYED AT OUR <br /> PERMITTED HAZARi70W6 WASTE FACILITY <br /> In the event of any physical or atmospheric changes affecting the gas-free conditions of the above tanks, or If In any doubt, <br /> Immediately stop all hot work and contact the undersigned This permit is valid for 24 hours if no physical or atmospheric <br /> changes Occur <br /> STANDARD SAFETY DESIGNATION <br /> SAFE FOR MEN Means that In the compartment or space so designated (a) The oxygen content of the atmosphere is at least <br /> 19 5 percent by volume, and that (b) Toxic materials In the atmosphere are within permissable concentrations, and (c) In the <br /> judgment of the Inspector, the residues are not capable of producing toxic materials under existing atmospheric conditions <br /> while maintained as directed on the Inspector's certificate <br /> SAFE FOR FIRE Means that in the compartment so designated (a) The concentration of flammable materials in the <br /> atmosphere is below 10 percent of the lower explosive limit, and that (b) In the Judgment of the Inspector, the residues are <br /> not capable of producing a higher concentration that permitted under existing atmospheric conditions in the presence of fire <br /> and while maintained as directed on the Inspector's certificate and further (c) All adjacent spaces have either been cleaned <br /> sufficiently to prevent the spread of fire, are satisfactorily inerted, or In the case of fuel tanks, have been treated as deemed <br /> necessary by the Inspector <br /> The undersigned repro ntative acknowledges receipt of this certificate and understands t conditlons and lirn tations under <br />&kch t s issuer <br /> R PRESENTATi E TITLE R <br /> rFr,Aar, <br />
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