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COMPLIANCE INFO_1991-2004
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2300 - Underground Storage Tank Program
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PR0232534
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COMPLIANCE INFO_1991-2004
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Last modified
11/19/2024 10:19:32 AM
Creation date
6/3/2020 9:57:49 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1991-2004
RECORD_ID
PR0232534
PE
2361
FACILITY_ID
FA0004547
FACILITY_NAME
CHEVRON STATION #201383
STREET_NUMBER
1960
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23402001
CURRENT_STATUS
01
SITE_LOCATION
1960 W ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0232534_1960 W ELEVENTH_1991-2004.tif
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EHD - Public
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0 • <br />CHEVRON PRODUCTS COMPANY <br />UNDERGROUND STORAGE TANK SYSTEM <br />OWNER/OPERATOR AGREEMENT <br />Operator Certification <br />As the operator of the Underground Storage Tank system installed at: <br />Chevron #201383 <br />1960 West 11 th Street <br />Tracy, CA 95376 <br />hereby certify that: <br />1. 1 am, or represent the individual, firm, trust, partnership, association or corporation <br />That is in control of and has the daily responsibility for the operation of the UST system at the <br />referenced facility. <br />2. 1 have entered into a written contract with Chevron Products Co., the owners of the <br />UST system I am operating. I understand that this obligates me to perform monitoring, <br />record keeping, and reporting requirements as outlines in the documents listed below. <br />3. 1 have received a copy of the Permit to Operate the UST system at the facility. <br />4. 1 have received a copy of the provisions of the Health and Safety Code Section 25299. <br />5. 1 have received a copy of the California Code of Regulations, Title 23 -Waters, Division 3 -State <br />Water Resources Control Board, Chapter 16 -Underground Storage Tank Regulations, May 1994. <br />Signature: -n' n' Date <br />Station Manager Name, Operator <br />Chevron #201383 <br />1960 West 11 th Street <br />Tracy, CA 95376 <br />
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