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COMPLIANCE INFO_1995-2004
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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PR0231070
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COMPLIANCE INFO_1995-2004
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Last modified
1/30/2023 2:09:10 PM
Creation date
6/3/2020 9:43:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1995-2004
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_1995-2004.tif
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EHD - Public
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06/14/2004 MON 14:45 FAX 1@002/002 <br /> Jun-09-04 03:20pm Fro"attler-Rya inc +116631131T T®Z91 pp•.o02/002 F-891 <br /> Project •on. ,�duy 't' ��k8 p£v .Z 5' S��eritd�+¢7 �a�s ��✓•�j JOE vow AA <br /> � Phone No' 9/4� . ��• /''Z <br /> c)wner:_ - <br /> Cona No: 9d1. 6tb.9ls+'& Liicrose wm 'D®3�• <br /> m DlcATE 1ETHOD OF BACFJML QUALM ASSURANCE <br /> 1_ Submission of SGijFxgkc&s Compaction Reportw"ithin 30 days of project completln,or <br /> 2. Submission of ' n, e��,, load ticket, within.30 days of project completion tbat one of the fo was <br /> ® placed in the in 12 lifts: <br /> _ A. Pea graven--smooth,rounded manial not more Than one-half(1/2)in&is diameter <br /> ' B. Crushed rock self-cotta=' m .19 aot (3/4) inch is crew sectionalt <br /> t Se of crushed rock will not be . d for b if==at wM be between*a <br /> It matexial and tanks/pipes made ofpoly team gim or similar ) <br /> DECLARATION <br /> I bcreby.cer*lbs a Soil "on will be su witivin 30 da of at�mpladon,of su of <br /> ventcake dial the select above will be placed ata of Foe ( is per IOQ� tank <br /> displacement aid thm tine emirs will be ed and compacted to insure c ee wilb the Vaif m iBw ding Cain <br /> A Chapter 70. ' <br /> e t <br /> 7Z- <br /> ShaU <br /> be the respousible=mqft employee on the flow"or atub <br /> EI3 23 Oa6 (Revised 10/16/03) Page 11 <br />
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