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COMPLIANCE INFO_2010-2015
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2300 - Underground Storage Tank Program
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PR0231692
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COMPLIANCE INFO_2010-2015
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Last modified
12/28/2023 11:35:02 AM
Creation date
6/3/2020 9:51:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2010-2015
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_2010-2015.tif
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EHD - Public
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/e a - ee e - r e s • e ' <br /> AUBURN 7700 INC CERSID <br /> 44 W MOSSDALE RD 10180551 <br /> LATHROP,CA 95330 UST Tank# <br /> TA0508176 <br /> M <br /> Yes Alarm Logs <br /> Visual Inspection Records <br /> Tank Integrity Testing Results <br /> SIR Testing Results <br /> Tank Gauging Results <br /> ATG Testing Results <br /> Corrosion Protection Logs <br /> Equipment Maintenance and Calibration Records <br /> rameng M' <br /> Personnel <br /> Personnel with UST Monitoring Responsibilities are Familiar with Training Documents <br /> Yes UST Monitoring Plan <br /> Yes Operating Manuals <br /> Yes CA UST Regulations <br /> CA UST Law <br /> SWRCB Handbook for Tank Owners-Manual and SIR <br /> SWRCB Publication:Understanding Automatic Tank Gauging Systems <br /> Other Training Documents <br /> eS Designated Operator Training <br /> omrrre is f Aiitllfional iriforrat�on ' <br /> v... . . .. s <br /> omments and Additional Information <br /> verfill is flappers 95% <br /> ersgnnel Respans�bili W- <br /> ame of First Person Having Responsibility Name of Second Person Having Responsibility <br /> Pal Dhaliwal SurenderAndal <br /> itle of First Person Having Responsibility Title of Second Person Having Responsibility <br /> caner Sec <br /> pplirant Certification.; '< <br /> �G G .. �. �_ _� . . mob,, ,. � .. <br /> Applicant Name Applicant Title Signature Date Signature Representation <br /> Pal Dhaliwal Owner Tank Owner/Operator <br /> Printed on 6/9/2015 2:34 PM <br />
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