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COMPLIANCE INFO_2020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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PICCOLI
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1990
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2300 - Underground Storage Tank Program
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PR0231820
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COMPLIANCE INFO_2020
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Last modified
3/8/2021 9:27:37 AM
Creation date
6/18/2020 9:46:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0231820
PE
2361
FACILITY_ID
FA0003826
FACILITY_NAME
Supervalu
STREET_NUMBER
1990
Direction
N
STREET_NAME
PICCOLI
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
10121001
CURRENT_STATUS
01
SITE_LOCATION
1990 N PICCOLI RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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Underground Storage Tank <br /> Designated UST Operator Visual Inspection Report <br /> 10. TESTING AND MAINTENANCE Yes No NA Date last <br /> performed <br /> Has monitoring system certification been completed within the past © © 11/19/20 <br /> 12 months? <br /> Has spill container testing been completed within the past C ® 11/19/20 <br /> 12 months? <br /> Has overfill prevention equipment inspection been completed within © © 11/08/18 <br /> the past 36 months? <br /> Has secondary containment testing been completed within the past ® 11/08/18 <br /> 36 months? <br /> Has tank tightness testing been completed within required © [-1 fâ <br /> timeframes? <br /> Has line tightness testing been completed within the required © 0 fâ <br /> timeframes? <br /> Other Test / Maintenance: <br /> Other Test / Maintenance: <br /> Other Test / Maintenance: <br /> 11. FACILITY EMPLOYEE TRAINING Yes No <br /> Have all individuals performing facility employee duties received the required facility ©â In <br /> employee training within the past 12 months? <br /> 13. COMMENTS <br /> This section may be used to record comments or observations that are not current compliance <br /> deficiencies. <br /> All answers marked "No" must be described by the designated UST operator in Section 3, <br /> Page 4 of 4 <br />
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