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COMPLIANCE INFO_1986-1995
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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COUNTRY CLUB
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2300 - Underground Storage Tank Program
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PR0231070
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COMPLIANCE INFO_1986-1995
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Last modified
1/30/2023 1:21:59 PM
Creation date
6/3/2020 9:43:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1986-1995
RECORD_ID
PR0231070
PE
2351
FACILITY_ID
FA0006439
FACILITY_NAME
COUNTRY CLUB MOBIL CIRCLE K
STREET_NUMBER
2575
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
CURRENT_STATUS
01
SITE_LOCATION
2575 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2351_PR0231070_2575 COUNTRY CLUB_1986-1995.tif
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EHD - Public
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OUARTERR INVENTORY XPORTING <br />FacilityName: SHE�1- <br />Facility Address: <br />city: <br />County: <br />State: <br />These were inventory variations that <br />exceeded the allowable limits for this <br />quarter. <br />I hereby certify that all product level variations <br />❑ for the above mentioned facility were <br />within allowable limits for this quarter. <br />I 101Z11-1 <br />GLIV 2 *X*14 4 elk go I =W3 11 KOWI-3:1 R:4 R I Jj I kt; <br />10 k1rj *:I I Lei -III I kyj ARI 1 :4 ;k� <br />Step 1 <br />Review Records. <br />•Ex <br />New reconciliation <br />lanation <br />performed. <br />Step 3 <br />Shell Oil notified. <br />Step 4 <br />Records review from <br />Step 8 <br />the last stable <br />situation. <br />Step 9 <br />Additional investigation <br />as required • Shell <br />or • <br />local agency. <br />10 k1rj *:I I Lei -III I kyj ARI 1 :4 ;k� <br />Step 1 <br />Review Records. <br />Step 2 <br />New reconciliation <br />performed. <br />Step 3 <br />Shell Oil notified. <br />Step 4 <br />Records review from <br />Step 8 <br />the last stable <br />situation. <br />This quarterly summary report <br />shall be submitted within 15 days <br />after the end of each quarter. Check <br />the quarter you are submitting <br />❑ Quarter 1 — January thru March <br />Submit by April 15 <br />Quarter 2 — April thru June <br />IM Submit by July 15 <br />❑ Quarter 3 — July thru September <br />Submit by October 15 <br />❑ Quarter 4 —October thru December <br />Submit by January 15 <br />Send to • • PUI�2-1(- HEALIH 271L.//Cf,,r <br />P-0 gox zo)q) 61 Lft260-61V 4tVE <br />612, 1?5_2D� <br />KEEP COPIES OF THIS FORM FOR YOUR RECORDS <br />I a 4=1— I <br />TEALIR SIGNATUk�.�//' DATE <br />e <br />inspected • leaks. <br />Step 6 <br />Dispenser meters <br />calibrated. <br />Step 7 <br />Piping hydrostatically <br />tested. <br />Step 8 <br />Underground storage <br />tanks precision •f <br />Step 9 <br />Additional investigation <br />as required • Shell <br />or • <br />local agency. <br />This quarterly summary report <br />shall be submitted within 15 days <br />after the end of each quarter. Check <br />the quarter you are submitting <br />❑ Quarter 1 — January thru March <br />Submit by April 15 <br />Quarter 2 — April thru June <br />IM Submit by July 15 <br />❑ Quarter 3 — July thru September <br />Submit by October 15 <br />❑ Quarter 4 —October thru December <br />Submit by January 15 <br />Send to • • PUI�2-1(- HEALIH 271L.//Cf,,r <br />P-0 gox zo)q) 61 Lft260-61V 4tVE <br />612, 1?5_2D� <br />KEEP COPIES OF THIS FORM FOR YOUR RECORDS <br />I a 4=1— I <br />TEALIR SIGNATUk�.�//' DATE <br />e <br />
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