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r <br />r <br />and Additional Information <br />a: <br />t# ., <br />ame of First Person Having Responsibility blame of Second Person Having Responsibility <br />talion Manager Kenny Merced <br />itle of First Person Having Responsibility Title of Second Person Having Responsibility <br />talion Manager General Manager <br />G inn <br />Applicant Name <br />� Applicant Title <br />Signature Date <br />Signature Representation <br />Pacific Avenue Chevron <br />CERS iD <br />6633 Pacific Avenue <br />10594654 <br />Stockton, CA 95207 <br />UST Tank # <br />1 -Regular <br />Unleaded <br />YeS Alarm Logs <br />Visual Inspection Records <br />YeS Tank Integrity Testing Results <br />SIR Testing Results <br />Tank Gauging Results <br />ATG Testing Results <br />Corrosion Protection Logs <br />YeS Equipment Maintenance and Calibration Records <br />r <br />r <br />and Additional Information <br />a: <br />t# ., <br />ame of First Person Having Responsibility blame of Second Person Having Responsibility <br />talion Manager Kenny Merced <br />itle of First Person Having Responsibility Title of Second Person Having Responsibility <br />talion Manager General Manager <br />G inn <br />Applicant Name <br />� Applicant Title <br />Signature Date <br />Signature Representation <br />enn Bartlett <br />Director of finance <br />10/20/2014 <br />Tank Owner/O rator <br />Printed on 2/6/20151:44 PM <br />