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COMPLIANCE INFO_1997-2003
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PR0507204
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COMPLIANCE INFO_1997-2003
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Last modified
2/11/2021 3:34:59 PM
Creation date
6/23/2020 6:57:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1997-2003
RECORD_ID
PR0507204
PE
2361
FACILITY_ID
FA0007735
FACILITY_NAME
7-ELEVEN INC #32262
STREET_NUMBER
2360
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
23819001
CURRENT_STATUS
01
SITE_LOCATION
2360 W GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0507204_2360 W GRANT LINE_1997-2003.tif
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EHD - Public
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INSTRUCTIONS FO COMPLETING T F "C", 'TANK INSTALLATION ION `I I r <br /> GENERAL INSTRUCTIONS <br /> 11 Each tank system must be in compliance with the federal and stat, t hnica <br /> standards, contained in law and regulations, for teak and piping installation. <br /> This certification shall be completed b either the UST owner or representative. <br /> 3. One certification is required for each tank system. This form shall be used to <br /> rake the required certification. <br /> 4. Please type or print clearly all requested information (for printing, please use a <br /> I'Nnrd po€�tt writing Instrument). <br /> . Submit the completed certification to the appropriate Local Implementing Agency, <br /> INSTALLATION: MATTIC ALL OF THE ITEMS " APPLY TO INDICATE THAT THE <br /> INSTALLATION REQUIREMENTS ARE MET. <br /> If. OATH: THE TANK OWNER OR AGENT SHALL CERTIFY, BY SIGNING THE <br /> CERTIFICATION, THAT THE INFORMATION PROVIDED TRUE AND <br /> CORRECT. THE PERSON'S NAME SHOULD BE PRINTED:UNDER THE <br /> SIGNATURE. <br />
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