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COMPLIANCE INFO_1986-1999
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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2300 - Underground Storage Tank Program
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PR0231069
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COMPLIANCE INFO_1986-1999
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Last modified
2/27/2023 4:18:57 PM
Creation date
6/3/2020 9:44:35 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1986-1999
RECORD_ID
PR0231069
PE
2361
FACILITY_ID
FA0001909
FACILITY_NAME
STOP N SHOP
STREET_NUMBER
1856
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
123-191-02
CURRENT_STATUS
01
SITE_LOCATION
1856 W COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231069_1856 W COUNTRY CLUB_1986-1999.tif
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EHD - Public
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AIL <br /> INST"RUCT"IONS C TIN FOR "C": TANK INSTAL N CERTIFICATION <br /> GENERAL INSTRUCTIONS <br /> Each be ,m3 compilance with the federal ,and t e technical <br /> law arid regulations, foga tank and pl1'Ang installation, <br /> . This cerflfi att Y. w tw s be completed by either the UST owner or representative. <br /> Ono, certification is required for each tank system, This rn shall be used t <br /> make the require-ol certification. <br /> Please type o t, .a a clearly all requested information (for Printing, please use a <br /> S. Submit the completed certification to the appropriate Local Implementing g y. <br /> L INSTALLATION: MARK ALL OF THE ITEMS THAT APPLY TO INDICATE TE TH T THE <br /> INSTALL,pTiON REQUIREMENTS ARE MET, <br /> IL OATH: THE TANK OWNER OR AGENT SHALL CERTIFY, BY SIGNING THE <br /> CERTIFICATION, THAT T HE INFORMATION ,PROVIDED IS TRUE AND <br /> CORRECT, THE PERSON'S NAME SHOULD INT" DER THE <br /> SIGNATURE. <br />
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