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COMPLIANCE INFO_2006-2008
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231417
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COMPLIANCE INFO_2006-2008
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Last modified
2/15/2024 12:52:19 PM
Creation date
6/3/2020 9:48:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2006-2008
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_2006-2008.tif
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EHD - Public
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. <br />Owner Statements of Designated Undergrou ra e Tank (UST) Operator and Understanding of and C lahfTce with UST Requirements — continued <br />ALTERNATE 1 (Ontional) <br />Designated Operator's Name: Blake Herness <br />Relation to UST Facility (Check One) <br />❑ Owner ❑ Operator ❑ Employee <br />❑ Service Technician x❑ Third -Party <br />Business Name (If different from above): Gilbarco Veeder-Root <br />Designated Operator's Phone #: 951-288-1519 <br />International Code Council Certification #: 5249180 -UC <br />Expiration Date: 12-12-2008 <br />ALTERNATE 2 (Optional) <br />Designated Operator's Name: Danny Edmonds <br />Relation to UST Facility (Check One) <br />❑ Owner ❑ Operator ❑ Employee <br />❑ Service Technician ❑x Third -Party <br />Business Name (If different from above): Gilbarco Veeder-Root <br />Designated Operator's Phone #: 626-848-4490 <br />International Code Council Certification #: 5272034 -UC <br />Expiration Date: I 1-8-2007 <br />ALTERNATE 3 (Optional) <br />Designated Operator's Name: Darrell Riley <br />Relation to UST Facility (Check One) <br />❑ Owner ❑ Operator ❑ Employee <br />❑ Service Technician 1] Third -Party <br />Business Name (If different from above): Gilbarco Veeder-Root <br />Designated Operator's Phone #: 619-206-8379 <br />International Code Council Certification #: 5248975 -UC <br />Expiration Date: 11-29-2008 <br />ALTERNATE 4 (Optional) <br />Designated Operator's Name: Darren Austin <br />Relation to UST Facility (Check One) <br />❑ Owner ❑ Operator ❑ Employee <br />❑ Service Technician ® Third -Party <br />Business Name (If different from above): Gilbarco Veeder-Root <br />Designated Operator's Phone #: 858-699-2751 <br />International Code Council Certification #: 5250436 -UC <br />Expiration Date: 11-11-2008 <br />ALTERNATE 5 (Optional) <br />Designated Operator's Name: Eric Banghart <br />Relation to UST Facility (Check One) <br />❑ Owner ❑ Operator ❑ Employee <br />❑ Service Technician x❑ Third -Party <br />Business Name (If different from above): Gilbarco Veeder-Root <br />Designated Operator's Phone #: 310-467-2529 <br />International Code Council Certification #: 5250118 -UC <br />Expiration Date: 11-9-2008 <br />ALTERNATE 6 (Optional) <br />Designated Operator's Name: Daniel Perez <br />Relation to UST Facility (Check One) <br />❑ Owner ❑ Operator ❑ Employee <br />❑ Service Technician IK Third -Party <br />Business Name (If different from above): Gilbarco Veeder-Root <br />Designated Operator's Phone #: 916-718-0139 <br />International Code Council Certification #: 5246161 -UC <br />Expiration Date: 11-17-2008 <br />ALTERNATE 7 (Optional) <br />Designated Operator's Name: Jim Palmer <br />Relation to UST Facility (Check One) <br />❑ Owner ❑ Operator ❑ Employee <br />❑ Service Technician ❑x Third -Party <br />Business Name (If different from above): Gilbarco Veeder-Root <br />Designated Operator's Phone #: 831-840-5235 <br />International Code Council Certification #: 5254109 -UC <br />Expiration Date: 2-21-2007 <br />ALTERNATE 8 (Optional) <br />Designated Operator's Name: Kevin Watermolen <br />Relation to UST Facility (Check One) <br />❑ Owner ❑ Operator ❑ Employee <br />❑ Service Technician ❑x Third -Party <br />Business Name (If different from above): Gilbarco Veeder-Root <br />Designated Operator's Phone #: 916-212-7973 <br />International Code Council Certification #: 5250470 -UC <br />Expiration Date: 12-21-2008 <br />ALTERNATE 9 (Optional) <br />Designated Operator's Name: Brian Ellsworth <br />Relation to UST Facility (Check One) <br />❑ Owner ❑ Operator ❑ Employee <br />❑ Service Technician ® Third -Parry <br />Business Name (If different from above): Gilbarco Veeder-Root <br />Designated Operator's Phone #: 707-815-2511 <br />International Code Council Certification #: 5263224 -UC <br />Expiration Date: 7-7-2007 <br />
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