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COMPLIANCE INFO_1995-2006
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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COUNTRY CLUB
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2705
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2300 - Underground Storage Tank Program
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PR0231072
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COMPLIANCE INFO_1995-2006
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Last modified
1/23/2023 3:13:14 PM
Creation date
6/23/2020 6:40:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1995-2006
RECORD_ID
PR0231072
PE
2361
FACILITY_ID
FA0002048
FACILITY_NAME
TESORO (SPEEDWAY) 68221
STREET_NUMBER
2705
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12121008
CURRENT_STATUS
01
SITE_LOCATION
2705 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231072_2705 COUNTRY CLUB_1995-2006.tif
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EHD - Public
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INSTRUCTIONS FOR IPI-,ETi G FOR "C": TANK iNSTALLATION CERTIFICATION' <br /> GENERAL INSTRUCTIONS <br /> 1, Each tank system, must in compliance ,vitt the federaln state technical <br /> t ndan s, contained in law and r r jai ti r , for teak and piping installation. <br /> R: This c rtsticfic,, sii be ,..ompi t d by r the USS` owner or representative. <br /> One certificlation, is r qu �:i for each aystem. This form shall be usedt <br /> tasks the <br /> Y Please type or print clearq, allrequestec �- rm tion (tor printing, please use <br /> hart jjohntwriting <br /> Submit the completed certification to the appropriate Local;Implementing . <br /> t. INSTALLATION., MIARK ALL OF THE ITEMS THAT APPLY TO INDICATE THAI' °l H <br /> iNST,,�,,LL °TION REQUIREMENTS ARE <br /> Ila OATH: THE TANK OWNER OR, AGENT SHALL CERTIFY, BY SIGNING THE <br /> CERTIFICATION, : HAS THE INFORMATION PROVIDED IS TRUE AND <br /> CORRECT.. yHE PERSON' NAME SHOULD i UNDER THE <br /> SIGNATURE. <br />
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