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COMPLIANCE INFO_2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0232601
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
10/28/2020 1:25:14 PM
Creation date
9/3/2020 8:54:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0232601
PE
2361
FACILITY_ID
FA0004525
FACILITY_NAME
CHEVRON STATION #372736/2223
STREET_NUMBER
9484
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
09055063
CURRENT_STATUS
01
SITE_LOCATION
9484 WEST LN
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
KBlackwell
Tags
EHD - Public
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UNDERGROUND STORAGE TANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM (Page 2 of 6) <br /> V. TANK CONTAINMENT TESTING INFORMATION <br /> Manufacturer Identify Tank ID from section III for each Manufacturer <br /> A B C D ❑ <br /> A ❑ B ❑ C D ❑ <br /> Test Method Used : <br /> ❑ Manufacturer Guidelines : (Specify) <br /> E Industry Code or Engineering Standard : (Specify) PEI RP1200 <br /> ❑ Engineered Method : (Specify) <br /> # of Attached Pages <br /> Attach the testing procedures and all documentation required to determine the results. <br /> Tank Containment Testing Training and Certifications (List applicable certifications.) Expiration Date <br /> VI . COMMENTS <br /> Provide any additional comments here. <br /> VII . PRODUCT PIPING CONTAINMENT TESTING INFORMATION <br /> Manufacturer Identify Tank ID from section III for each Manufacturer <br /> NOV/Smith AE B ® C ® D ❑ <br /> A ❑ B ❑ CO D ❑ <br /> Test Method Used : <br /> ❑ Manufacturer Guidelines : (Specify) <br /> E Industry Code or Engineering Standard : (Specify) PEI RP1200 <br /> ❑ Engineered Method : (Specify) <br /> # of Attached Pages <br /> Attach the testing procedures and all documentation required to determine the results. <br /> Product Piping Containment Testing Training and Certifications (List applicable certifications.) Expiration Date <br /> NOV/Smith 03/ 13/21 <br /> i <br /> i <br /> Interstitial Communication Verification Method Used : <br /> VIII . COMMENTS <br /> Provide any additional comments here. <br /> i <br /> ID = Identification <br />
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