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COMPLIANCE INFO_2013-2014
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2300 - Underground Storage Tank Program
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PR0231897
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COMPLIANCE INFO_2013-2014
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Last modified
12/10/2024 4:22:39 PM
Creation date
6/3/2020 9:54:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013-2014
RECORD_ID
PR0231897
PE
2361
FACILITY_ID
FA0006443
FACILITY_NAME
Tracy Texaco
STREET_NUMBER
2375
Direction
N
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95376
APN
23207003
CURRENT_STATUS
01
SITE_LOCATION
2375 N TRACY BLVD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231897_2375 N TRACY_2013-2014.tif
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EHD - Public
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0 0 <br />onversion Evaluation Form <br />Qistri Sales Person: P.O. <br />�dd <br />1 %ALf <br />Existing Dispenser <br />MANUFACTURER%-I=Z: <br />SPECIFIC MODEL - <br />!�a <br />MANUFACTURER ... <br />EncoreSPECIFIC MODEL NUM13ER <br />risting UDC Sump <br />.. �� '.1 :►li <br />in or Deep Sump? <br />h lip .. ► r .�y <br />Anchor Bolts for concrete pad / island <br />i <br />M.Ic <br />isting UDC have a water splash., <br />OMG AMU TO UE SM 0 <br />16 <br />conduit exist within V of the inner opening? ______ ( IF YES. IMAGES ARE REQUIRED) <br />conduit exist outside of the UDC water splash lip? (IF YES. IMAGES ARE REQUIRED) <br />123 OR EMAIL TO YOUR SALES REPRESENTATIVE <br />sM. 800 -AT -BRAVO <br />saw made <br />m'. m USA=. _ .w <br />mm <br />12A <br />0. ,'t M"- <br />
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