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COMPLIANCE INFO_1988-2004
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231401
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COMPLIANCE INFO_1988-2004
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Last modified
11/19/2024 10:19:32 AM
Creation date
6/3/2020 9:48:09 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1988-2004
RECORD_ID
PR0231401
PE
2361
FACILITY_ID
FA0006388
FACILITY_NAME
KWIK SERVE
STREET_NUMBER
950
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23406002
CURRENT_STATUS
01
SITE_LOCATION
950 W ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231401_950 W ELEVENTH_1988-2004.tif
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EHD - Public
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Tank # <br />1 <br />2 <br />3 <br />Size <br />10,000 <br />7,500 <br />5,000 <br />Product <br />Regular <br />unleaded <br />unleaded prem <br />I hereby certify under penalty of perjury that all <br />inventory variations for the above mentioned facility were <br />within the allowable limits for this quarter. <br />X Inventory variations exceeded the allowable limits for <br />this quarter. I hereby certify under penalty of perjury <br />that the source for the variation was not due to an <br />unauthorized (leak) release. <br />List date, tank # and amount for all variations that exceeded the <br />allowable limits. <br />Date Tank # Amount <br />//0 <br />2. <br />3. <br />4. <br />5. <br />Additional dates/amounts shall be continued on a separate sheet <br />of paper and attached. <br />If the source of the variation which exceeded allowable limits <br />was due to a leak the incident shall be reported within 24 hours <br />and an unauthorized release report submitted. <br />INVENTORY RECONCILIATION <br />QUARTERLY SUMMARY REPORT <br />Facility Name: <br />Mobil #787 <br />Facility Address: <br />950 West ME Street <br />Tracy, CA 95376 <br />Telephone: <br />(209)836-9910 <br />Prepared by: <br />C. Allender <br />Date: <br />3/9788 <br />Tank # <br />1 <br />2 <br />3 <br />Size <br />10,000 <br />7,500 <br />5,000 <br />Product <br />Regular <br />unleaded <br />unleaded prem <br />I hereby certify under penalty of perjury that all <br />inventory variations for the above mentioned facility were <br />within the allowable limits for this quarter. <br />X Inventory variations exceeded the allowable limits for <br />this quarter. I hereby certify under penalty of perjury <br />that the source for the variation was not due to an <br />unauthorized (leak) release. <br />List date, tank # and amount for all variations that exceeded the <br />allowable limits. <br />Date Tank # Amount <br />//0 <br />2. <br />3. <br />4. <br />5. <br />Additional dates/amounts shall be continued on a separate sheet <br />of paper and attached. <br />If the source of the variation which exceeded allowable limits <br />was due to a leak the incident shall be reported within 24 hours <br />and an unauthorized release report submitted. <br />
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