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COMPLIANCE INFO_1985-1992
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231417
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COMPLIANCE INFO_1985-1992
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Last modified
2/15/2024 12:38:59 PM
Creation date
6/3/2020 9:48:40 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1985-1992
RECORD_ID
PR0231417
PE
2361
FACILITY_ID
FA0003780
FACILITY_NAME
TRACY SHELL*
STREET_NUMBER
3725
Direction
N
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95376
APN
21217030
CURRENT_STATUS
01
SITE_LOCATION
3725 N TRACY BLVD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231417_3725 N TRACY_1985-1992.tif
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EHD - Public
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QUARTERL INVENTORY R ,PORTIO(( G 2 1989 <br />' �1 <br />Facility Name: % Gq,SNEl_c-/►'�IAr <br />Facility Address: 9722-TRAG!/ i?(-, D <br />City: -T2 A C N <br />County: _ 64r,) -sa c . <br />State: - CA (-'r F7oe-,y/-4- <br />I hereby certify under penalty of perjury that all product <br />F] I, level variations for the above mentioned facility were <br />:,116,1194 <br />within allowable limits for this quarter. �� �FJT <br />Inventory variations exceeded the allowable limits for, <br />athis quarter. I hereby certify under penalty of perjury A�,." 1 1988 <br />that the source for the variation was NOT due to an <br />cW11?pNMENT� <br />unauthorized (leak) release. PERMIT/SERVICES `TH <br />List date. tank # and amount for all variations <br />that exceed the allowable limits <br />Date <br />Tank # <br />Amount <br />Date <br />Tank <br />Amount <br />�� <br />I hereby certify under penalty of perjury that all product <br />F] I, level variations for the above mentioned facility were <br />:,116,1194 <br />within allowable limits for this quarter. �� �FJT <br />Inventory variations exceeded the allowable limits for, <br />athis quarter. I hereby certify under penalty of perjury A�,." 1 1988 <br />that the source for the variation was NOT due to an <br />cW11?pNMENT� <br />unauthorized (leak) release. PERMIT/SERVICES `TH <br />List date. tank # and amount for all variations <br />that exceed the allowable limits <br />Date <br />Tank # <br />Amount <br />Date <br />Tank <br />Amount <br />-/09 <br />- y <br />RE& UNL. <br />- <br />The quarterly sUmMary report shall be submitted within 15 days <br />of the end of each quarter. <br />Quarter i - January thru March Submit by April 15 <br />Quarter 2 - April thru June --- Submit by July 15 <br />Quarter 3 - July thru September -- Submit by October 15 <br />Quarter 4 - October thru December - Submit b Janaury 15 <br />Send To (Local Agency) : --, <br />KEEP COPIES OF THIS FORM FOR YO OWN RECORDS <br />-T-IQ P L(4 S c_ (P) v / 1A) / 7 -f n <br />DATE MAILED D 6 ( , G. C'" W A C.. L C 7-19 IV &' � AA/ U <br />
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