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COMPLIANCE INFO_1996-2004
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231125
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COMPLIANCE INFO_1996-2004
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Last modified
5/24/2024 11:40:15 AM
Creation date
6/23/2020 6:43:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1996-2004
RECORD_ID
PR0231125
PE
2361
FACILITY_ID
FA0003730
FACILITY_NAME
TIWANA GAS & FOOD
STREET_NUMBER
1210
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
09403012
CURRENT_STATUS
01
SITE_LOCATION
1210 E HAMMER LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231125_1210 E HAMMER_1996-2004.tif
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EHD - Public
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STATION ADDRESS: 1210 E. HAMMAR LANE <br />CITY: STOCKTON, CA <br />WIC#: 641 <br />Rev: 12/4/95 Page 1 of 1 <br />Tank Material: [ ] <br />Fiberglass [ X ] Steel <br />[ ] Fibersteel <br />Tank Type: [ ] <br />Single Wall [ X ] Double Wall <br />Line Material: [ X ] <br />Fiberglass [ ] Steel <br />[ ] Flex Line <br />Line Type: [ ] <br />Single Wall [ X ] Double Wall <br />[ ] Trench Containment <br />Waste Oil Tank Type: [ ] <br />Single Wall [ ] Double Wall <br />[ ] Above Ground <br />Waste Oil Line Type: [ ] <br />Single Wall [ ] Double Wall <br />[ ] Direct Fill (No Product Llnes) <br />TANK NIQORTG SYSTEM <br />QTY <br />TYPE <br />POSITIVE FAIL OPERATIONAL <br />MANUFACTURER <br />SHUT DOWN SAFE <br />MODEL NUMBER <br />Interstitial Monitor <br />3 <br />[ ] Wet [ X ] Dg Annular <br />No No Yes <br />GILBARCO <br />3 <br />Electronic Tank Level Monitor <br />Yes <br />GILBARCO <br />0 <br />Vadose Monitor <br />NA <br />0 <br />Fill / Vapor Recovery Riser <br />NA <br />Comments: <br />SYSTEM,,,:"", <br />QTY <br />ITYPE <br />OPERATIONAL <br />MANUFACTURER <br />MODEL NUMBER <br />Interstitial Monitor <br />[ 1 Wet rD Annular <br />Waste Oil Line Monitor <br />[ ] Wet [ ] Dry Annular <br />Fill / Vapor Recovery Riser <br />Comments: <br />QTY <br />TYPE <br />POSITIVE FAIL OPERATIONAL <br />MANUFACTURER <br />SHUT DOWN SAFE <br />MODEL NUMBER <br />3 <br />Mechanical Leak Detector <br />Yes <br />RED JACKT FX <br />0 <br />Electronic Line Pressure Monitor <br />NA <br />Electronic Line Pressure Monitor <br />0 <br />with Mechanical Leak Detector <br />_ <br />NA <br />3 <br />Electronic Tank Sump Monitor <br />Yes <br />Yes Yes <br />( GILBARCO <br />0 <br />Electronic Line Trench Monitor <br />NA <br />I certify that the above information is accurate and functioning according to manufacturers specifications. <br />SIGNATURE: <br />COMPANY: NDE Environmental Corp. <br />PRINT NAME: DAVID MATHIE <br />DATE: 08/01/96 <br />Rev: 12/4/95 Page 1 of 1 <br />
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