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COMPLIANCE INFO_2001-2009
EnvironmentalHealth
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MOSSDALE
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2300 - Underground Storage Tank Program
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PR0231692
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COMPLIANCE INFO_2001-2009
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Last modified
12/28/2023 11:29:54 AM
Creation date
6/3/2020 9:51:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2001-2009
RECORD_ID
PR0231692
PE
2361
FACILITY_ID
FA0000212
FACILITY_NAME
Mossdale Chevron
STREET_NUMBER
444
Direction
W
STREET_NAME
MOSSDALE
STREET_TYPE
RD
City
LATHROP
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
444 W MOSSDALE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231692_444 W MOSSDALE_2001-2009.tif
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EHD - Public
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VEEDER-ROOT Certified <br />Technician <br />The bearer of this card has sul oessli <br />cwvleted a marxfactt" tam <br />course in the listed prod4s). <br />Tim Minard <br />Technician *636222 <br />UST Monitoring Systems - Level 2/3 <br />(Installation, Startup 9 Service) <br />Ind. Secondary containment Vacuum Sensing • CA only <br />Expires 1/30/2010 <br />el RED JACKET Certified <br />1411110OZ-_ Technician <br />The bearer of this card has sctooeW* <br />course in the listed pnoduck <br />Tim Minard <br />Technician *836222 <br />Mechanical Line Leak Detectors <br />Expires 12/26/2009 <br />You mist contact Techr icafrrari d.coat 0 carfiernt <br />lhecurreM certificationn reca(artl�s�erson. <br />r •r• -r <br />Technician <br />wplated, ri • • <br />Tim Nlnard <br />Technician *536222 <br />UST Monitoring Systems - Levet 1 <br />(Installation) <br />Expires 12/27/2009 <br />You must contact TechrucalTra " bang com to confirm <br />the current certification or this t3ersort. <br />VEEM-ROW Certified <br />Technician <br />The bearer of this cid has stiocew* <br />mairy <br />oc irse n Vis). <br />Tim Minard <br />Technician *836222 <br />Veeder-Root In -Station Diagnostics (ISD) <br />(Installation, Startup d Troubleshooting) <br />Expires 1/31/2010 <br />You mulst contact TechxiicalT barco.00m to corfiirm <br />the cunwtt cetiiftcatiort or this person. <br />Franklin Fueling Systems <br />Tim Minard - Certification #: 4537383761 <br />Wayne Services Group <br />Certification Type <br />ExpirAtion Date <br />Phil -rite Executive Order VR -101-1 <br />Nov 09 <br />Healy Executive Order VR -202-C <br />No -2 , <br />Phil -Tice Training Nov -06-2007, <br />a5 <br />Healy Traininq Nov -06-2007 <br />Franklin Fueling Systems il <br />Tim Minard - Certification #: 4537383761 <br />Dresser Wayne Austin <br />Qrtification Type Expiration Date <br />Phil-Tite Executive Order VR -101-1 Nov-Q§r-2 09 <br />X", <br />Phil-Tits Traininq Nov -06-2007 <br />U xlr <br />Itnt�L1x)w. IT <br />11M L MINARD <br />CALIFORNIA UST SERVICE TECHNICIAN <br />The individual named hereon is CERTIFIED in the category shown, <br />having been so certified pursuant to successful completion of the <br />prescribed written examinations. <br />Expiration date: Nollelgtbe0Q9-~" �\ <br />No. 5292650 -UT 1, / r; 2 <br />Not valid unless signed by certificate holder. <br />ICC certification attests to competent knowledge of codes and standards <br />Aw <br />! STATE OF CAL IFORWIP. ,•.NT ,q/, <br />(SERVICE AGENT LICENSE t' <br />Issued by the Department of Food and Agriculture's <br />Divisum of Measuremerrt Standards <br />6750 Florin Perkins Road, Suite 100, Sacramento, CA 55828-1812 <br />Tim Minard <br />is licensed as a Service Agent for commercial <br />weighing and measuring devices. <br />
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