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COMPLIANCE INFO_1986-2004
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2300 - Underground Storage Tank Program
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PR0231574
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COMPLIANCE INFO_1986-2004
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Last modified
2/1/2021 11:45:21 AM
Creation date
6/23/2020 6:49:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1986-2004
RECORD_ID
PR0231574
PE
2361
FACILITY_ID
FA0002123
FACILITY_NAME
GREWALS GAS & LIQUOR*
STREET_NUMBER
4100
Direction
E
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95215
APN
14333046
CURRENT_STATUS
01
SITE_LOCATION
4100 E FREMONT ST
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231574_4100 E FREMONT_1986-2004.tif
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EHD - Public
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INSTRUCTINSTAL f:10N CERTIFICATION <br /> CAN!, FOR C FORM "C": TANK I -LIA <br /> GENERAL INSTRUCT!ONS <br /> 1. Each tank system must be in compliance technical <br /> standards, contained in law and regulations,. =.allation. <br /> 2. This certification shall be completed by esti. -.-- ,owner or representative. <br /> 3. One certification is required for each tanklhiform shall be used to <br /> make the required certification. <br /> 4. Please type or print clearly all requested information (for printing, please use a <br /> hard point writing instrument). <br /> 5. Submit the completed certification to the appropriate Local Implementing Agency. <br /> ON: MARK ALL OF THE ITF-7- APF"," SATE THAT THE <br /> INSTALLATION Rf ARE MET. <br /> IL OATH: Ti <br /> " VI" ED 1,3 <br /> - E PRINJE.,'-) <br /> �L 6 <br />
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