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COMPLIANCE INFO_2020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231692
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COMPLIANCE INFO_2020
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Last modified
12/22/2020 9:25:12 AM
Creation date
6/11/2020 3:51:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
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
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SJGOV\kblackwell
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EHD - Public
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UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT <br /> XXI.UNDER-DISPENSER CONTAINMENT TESTING INFORMATION <br /> Manufacturer Identify Tank ID from Section III for each Manufacturer. <br /> 1 ❑ 2 ❑ 3 4 ❑ 5E 6 <br /> 7 ❑ 8 ❑ 9 ❑ 10 ❑ 11 ❑ 12 ❑ <br /> 1E 2E 3 ❑ 4 ❑ 5E 6 ❑ <br /> 7 ❑ 8 ❑ 9 ❑ 10 ❑ 11 ❑ 12 ❑ <br /> Test Method Used: ❑ Manufacturer Guidelines: <br /> ❑ Industry Code or Engineering Standard: <br /> ® Engineered Method: INCON TS1000/Hydrostatic-15 MIN. <br /> Attach the testing procedures and all documents required to determine the results. #of Attached Pages: <br /> UDC Testing Training and Certifications _ _ Expiration Date <br /> INCON TS-STS- <br /> XXII. COMMENTS <br /> N/A <br />
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