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COMPLIANCE INFO_2011-2013
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COMPLIANCE INFO_2011-2013
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Last modified
3/8/2021 3:02:45 PM
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
2011-2013
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_2011-2013.tif
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EHD - Public
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2560 Soquel Avenue Ste 202 <br /> Santa Cruz CA 95062 _ <br /> T: 831.475.8141 <br /> F:831.475.8249 <br /> CA Lie#693807 A-HAZ B-111C <br /> Secondary Containment Testing Report For <br /> 1. Facility Information <br /> Facility Name: Valero 3641 Date of Testing: 07/11/2013 <br /> Facility Address: 1210 East Hammer Ln.Stockton,CA 95210 <br /> Facility Contact: Phone: 209-477-3111 <br /> Date Local Agency Was Notified of Testing; 06/27/2013 <br /> Name of Local Agency Inspector(if present during testing): Garrett Backus <br /> 2, Testing Contractor Information__ <br /> Manufacturer � — _ Component Expiration Date <br /> INCQN TS-STS 12/12/2014 <br /> 3. Summary of Test Results <br /> Component P F NT I RAA Component P F NT RAA <br /> — - ... <br /> Spill Buckets:87 ® ❑ ❑ ❑ <br /> ❑ ... Ll❑ ❑ ❑ <br /> Spill Buckets:89&91 ® ❑ ❑ <br /> —- ®_....._El ..._._D ❑ <br /> El ❑ ❑ ❑ o--- o ❑ ❑ <br /> CERTIIiICATIO F TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING <br /> To the best of my knowledge, a cts stated in is document are accurate and in full compliance with legal requirements <br /> Technician's Signature: Date: 07/11/2013 <br /> Technician's Name: onatha cker <br /> lof2 <br />
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