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COMPLIANCE INFO_2009-2015
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2300 - Underground Storage Tank Program
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PR0231320
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COMPLIANCE INFO_2009-2015
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Last modified
11/8/2022 2:49:25 PM
Creation date
6/23/2020 6:46:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2009-2015
RECORD_ID
PR0231320
PE
2361
FACILITY_ID
FA0003602
FACILITY_NAME
TESORO (SPEEDWAY) 68151
STREET_NUMBER
35
Direction
N
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04318003
CURRENT_STATUS
01
SITE_LOCATION
35 N CHEROKEE LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231320_35 N CHEROKEE_2009-2015.tif
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EHD - Public
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SWRCB, January 2005 <br />This form is intended for use by contractors performing annual testing of UST spill containment structures. The completed form and <br />printouts from tests (if applicable), should be provided to the facility ownerloperator for submittal to the local regulatory agency. <br />*� s <br />Facility Name: ShellfTesoro Date of Testing: 1/28/14 <br />Facility address: 35 N. Cherokee Ln. Lodi, CA 95240 <br />Facility contact: Grace Keller (209) 369-1525 <br />Date Local Agency Was Notified of Testing: 12/27/13 <br />Name of Local Agency Inspector (if present during testing). Aries <br />pffi�* * *. *; <br />Company Name: Service Station Systems <br />Technician Conducting Test: Kris Bell <br />Credentialst: ® CSLB contractor ® [CC Service Tech. [] SWRCB Tank Tester Q Other (Specify) <br />License Number(s): License: 485184 ICC:5297793-UT <br />Comments:- Diesel Fill Drain & Fill Cap r & Passed. <br />CERTIFICATION OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING <br />I hereby certify that all the information contained In this report Is true, accurate,and In full compliance with legal requirements. <br />Technician's Signature: Date: 1/28/14 <br />I State laws and regulations do not currently require testing to be performed by a qualified contractor. However, local requirements <br />may be more stringent. <br />
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