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COMPLIANCE INFO_2020
EnvironmentalHealth
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WALNUT GROVE
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2300 - Underground Storage Tank Program
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PR0521738
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
12/31/2020 8:09:54 AM
Creation date
7/10/2020 2:22:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0521738
PE
2371
FACILITY_ID
FA0014762
FACILITY_NAME
JD Service Station, Inc.
STREET_NUMBER
9015
STREET_NAME
WALNUT GROVE
STREET_TYPE
RD
City
THORNTON
Zip
95686
CURRENT_STATUS
01
SITE_LOCATION
9015 WALNUT GROVE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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i <br /> UNDERGROUND STORA7 TANK <br /> It1 ,12 (7tIND STORAGF TANKIOP NRA(MA V( 'NJAL INSPECTION : <br /> I It IlNlti 16 FA(.11 I I � .1 rated <br /> �I ' tli lgiA ( h ),ny 11111.0110 A ) — -- � — <br /> tip OR <br /> � . . is r ,. ��• 1`� Uty <br /> N 1'' \ I \ 1! p - - - - - <br /> `t . K () PL INFORMATIO <br /> \gyp@SIRNATF. D UNDFRGROUND STORAGE- p e # — <br /> Ii. / . (2 <br /> djoijOV: yyy ' L.1� - Incation xp rill <br /> Crate - - — - -- - <br /> �1l v` 111 . COMPL E ISSUES re ufre follow-up action <br /> Vil throng XI — -- <br /> _ �- - — <br /> NA in se+'hDns nur:,t h ; c / ,i• ur , is section and may 9 <br /> rs & <br /> \ Lp <br /> ,� <br /> 1Z � <br /> t <br /> V, CERTIFICATION BY DESIGNATED OPERATOR CONDUCTING THIS INSPECTION <br /> ify <br /> hapter that the visualction inspe <br /> an nl was the 1 P orormon I If� I compliahere! nce <br /> cs with California Code of Regulations , Title 23, <br /> 1 <br /> T Operator Signature <br /> V. OWNE RA R DESCRIPTION OF FOLLOW-UP ACTIONS <br /> pues " d in Section 111 above must he ascription of the tallow-up action taken or to be taken to correct the issue on the number <br /> at co ` sponds with the number If e o omplrance issue listed above in Section ill. <br /> ���,�� � r <br /> .I <br /> t <br /> VI. OWNER 1 OPERATO C WLEDGMENT OF COMPLIANCE ISSUES <br /> ction III " COMPLIANCE ISSU pro a description in Section V of the action taken or to be taken <br /> es discovered. <br /> eefUST OwnedOperalor (Prini) ST0 perator Signature Date /y . <br /> % C*Wi8Er?0"V"1W g S'sien, = klentifirabon. UST = Urtdet9rouW Sbage Tank cC - ,tunwbu%a; Cade C;our6 <br /> J <br />
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