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COMPLIANCE INFO_2020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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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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Entry Properties
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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Submitted for CERS ID 10181465 on 12/10/2020 10:31AM by Beth Freymiller of Supervalu (Eden Prarie, MN) Submitted <br />Element History <br />Select this option if you feel you are exempt from this document upload requirement. Provide a short explanation of <br />why you feel you are exempt in the space provided below. If the regulatory agency does not approve of the <br />document exemption, the submittal element will be rejected. <br />comment <br />Unified Grocers, Inc./Supervalu, Inc. is insured by Liberty Surplus Insurance Company. Policy Number <br />TXENYB12518118. <br />Document Options Exempt <br />Upload Document(s) <br />Public Internet URL <br />Provided Elsewhere in CERS <br />Provided to Regulator <br />Stored at Facility <br />Exempt <br />UST Letter from the Chief Financial Officer Documentation: CERS Business Page 1 of 2 <br />California Environmental Reporting System: Business Andrew Butterfield's Account Sian Out Tools Reports Help <br />Hama Submittals Facilities Compliance Ny Bustaeas <br />UST Letter from Chief Financial Officer Supervalu <br />Home >> Submittal History >> Submittal: 12/10/2020110181455) >> UST. UST Letter from Chief Financial Officer (Submitted) <br />ti) Instructions/Help 1*1 <br />UST Letter from the Chief Financial Officer Documentation <br />Provide a a copy of your UST Letter from the Chief Financial Officer Documentation as required by your local regulator. Learn more about UST financial responsibility on the State <br />Water Resources Control Board (SVVRCB) Financial Responsibility site and check with your local regulator for information on the format and information requirements needed. A <br />sample letter from the SWRCB is available here. <br />Select the Edit button to modify/add documentation. <br />Vlati EiVite Sutrittal Start heo Subridal <br />Created By: Beth Freymiller on 12/10/2020 9:39 AM <br />Last Updrted By: Beth Freymiller on 12/10/2020 9:39 AM la& <br />Version 3.05.0004 I Enhancements I CERS Central Diagnostics I Conditions of Use I Privacy Policy I Contact I Halt) <br />California Environmental Reporting System: Business I C 2020 California Environmental Protection Agency <br />CERS Technical Support Reauest Technical Assistance <br />Unified Program/General Assistance Contact your local reaulatorisl <br />CERS Help Settings <br />4' MI https ://cetsbusi riess2 calepa ca.gbv/169708/Eliallity/10181455/Submittial/UST/4500004/L... 12/10/2020
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