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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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PR0231785
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
10/15/2020 2:38:49 PM
Creation date
6/16/2020 4:22:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0231785
PE
2361
FACILITY_ID
FA0003994
FACILITY_NAME
PERSHING GAS FOR LESS
STREET_NUMBER
4445
Direction
N
STREET_NAME
PERSHING
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11018006
CURRENT_STATUS
01
SITE_LOCATION
4445 N PERSHING AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
KBlackwell
Tags
EHD - Public
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UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM (Page6 of 6) <br /> XXI. UNDER-DISPENSER CONTAINMENT TESTING INFORMATION <br /> Manufacturers Identify UDC ID from Section III for each Manufacturer <br /> Unknown 1 0 2 0 3 0 4 X 5 ❑ 1 6 ❑ <br /> 7 ❑ 8 ❑ 9 ❑ 10 ❑ 11 ❑ 12 ❑ <br /> 1 ❑ 2 ❑ 3 ❑ 4 ❑ 5 ❑ 6 ❑ <br /> 7 ❑ 8 ❑ 9 ❑ 10 ❑ 11 ❑ 12 ❑ <br /> Test Method Used: ❑ Manufacturer Guidelines(Specify): <br /> ❑x Industry Code or Engineering Standard(Specify): PEI-1200 <br /> ❑Engineered Method(Specify): <br /> Attach the testing procedures and all documentation required to determine the results. #of Attached Pages1 <br /> UDC Testing Training and Certifications(List applicable certifications.) Expiration Date <br /> ICC Tech 8819073 9/8/2020 <br /> Incon level 4 1027843710 1 10/4/2020 <br /> XXII. COMMENTS <br /> Provide any additional comments here. <br /> If the facility has more components than this form accommodates,additional copies of these pages may be attached. <br /> UDC=Under-Dispenser Containment;ID=Identification <br /> UN-054 www.unidocs.org 6/6-Rev.06/14/18 <br />
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