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COMPLIANCE INFO_1986-2002
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2300 - Underground Storage Tank Program
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PR0231438
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COMPLIANCE INFO_1986-2002
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Last modified
12/20/2023 2:03:30 PM
Creation date
6/3/2020 9:49:02 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1986-2002
RECORD_ID
PR0231438
PE
2361
FACILITY_ID
FA0003716
FACILITY_NAME
SUPER STOP GAS & LIQUOR*
STREET_NUMBER
290
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
22309101
CURRENT_STATUS
01
SITE_LOCATION
290 N MAIN ST STE C
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231438_290 N MAIN_1986-2002.tif
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EHD - Public
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INSTRUCTIONS FOR COMOETING FORM "C": TANK INSTALLATIP CERTIFICATION <br /> GENERAL INSTRUCTIONS <br /> 1. Each tank system must be in compliance with the federal and state technical <br /> standards, contained in law and regulations, for tank and piping installation. <br /> 2. This certification shall be completed by either the UST owner or representative, <br /> 3. One certification is required for each tank system. This form shall be used to <br /> make the required certification. <br /> 4. Please type or print clearly all request6d16-Jorniat'ibn (for`pnntlng, plea§b use a <br /> herd point writing instrument), <br /> 5. Submit the completed certification to the appropriate Local Implementing Agency. <br /> 1. INSTALLATION: MARK ALL OF THE ITEMS THAT APPLY TO INDICATE THAT THE <br /> INSTALLATION REQUIREMENTS ARE T. <br /> IL OATH: THE TANK OWNER OR AGENT SHALL CERTIFY, BY SIGNING THE <br /> CERTIFICATION, THAT THE INFORMATION PROVIDED IS TRUE AND <br /> CORRECT. THE PERSON'S NAME SHOULD BE PRINTED UNDER THE <br /> SIGNATURE. <br />
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