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COMPLIANCE INFO_2005-2012
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2300 - Underground Storage Tank Program
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PR0231401
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COMPLIANCE INFO_2005-2012
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Last modified
11/19/2024 10:19:32 AM
Creation date
6/3/2020 9:48:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2005-2012
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_2005-2012.tif
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EHD - Public
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April 28, 2009 <br />JoaquinSan <br />.nvironrnental Health Department <br />t East Main Street <br />Stockton,California0 <br />Website: www jgov.vrg/ehd <br />Phone: (209) 468-3420 <br />Fax: (209) 464-0138 <br />Mahesh 1'atei <br />950 W I I" St <br />Tracy CA 95376 <br />RE: Kwik Serve, 950 W I Ida ST Tracy CA 953'76 <br />DIRECTOR <br />Donna Horan, REHS <br />ASSISTANT DIRECTOR <br />Laurie Cotulla, REHS <br />PROGRAM COORDINATORS <br />Carl Borgman, REHS <br />Mike Huggins, REH5, RDI <br />Margaret Lagorlo, RENS <br />Robert McClellon, REHS <br />Jeff Carruesco, REHS, RDI <br />Kascy Folcy, klrHS <br />San Joaquin County Environmental Health Department (EHD) performed a routine underground storage tank <br />inspection on October 9, 2007 at the above referenced. site <br />An inspection report was issued identifying information to be submitted to bring this site into compliance. This <br />information was required to be submitted immediately fbllowing inspection. blas information has not been received <br />resulting in a nou-compliant status for this facility. <br />Failure to correct the violations will result in continuing/additional violations. <br />Note: All )EHD staff time "suciaated with failing to comply, including the issunnee of this letter, is billed of the <br />current hourly rate (S98). Failure to submit the completed information immediately may result in a re- <br />inspection or further legal action. <br />The missing information includes: <br />• Secondary Test Results <br />• ELI) retest results <br />r. Current UST Facility form (former Form A) (- Current UST rank form (former Form, H) <br />Sincerely, <br />Environmental <br />Specialist <br />Z0 39Vd 3A83SAIMA Z90ZZ6860Z bZ:TO 800Z/5T/50 <br />r <br />Annual monitoring certification, leak detector <br />Annual Monitoring Certification <br />acid spill bucket test results <br />Monitoring and Response plans <br />Maintenance and monitoring logs <br />r7 <br />Certification of Financial Responsibility and <br />11ermh subuuttud to acl,air or replace failed <br />Dotter from Chief Financial Officer <br />equipment <br />l- <br />Designated. Operator employee training <br />l't <br />Statement of Designated operator <br />records <br />f- <br />Certification of Return to Compliance (Signed <br />Statement of how each violation was or will <br />and dated) <br />be corrected <br />Most forms may be accessed from our web site address, www.geocities.com/unitiii. If you have any questions, <br />please call Michelle Henry, RLHS at (209) 953-7699. <br />Sincerely, <br />Environmental <br />Specialist <br />Z0 39Vd 3A83SAIMA Z90ZZ6860Z bZ:TO 800Z/5T/50 <br />
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