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COMPLIANCE INFO_2019
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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
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KBlackwell
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EHD - Public
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SAN JOAOUI Environmental Health Department <br /> C U NTY Time In: <br /> Time Out: <br /> ' SS grows hoj— <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: CHEVRON SS #372736 Date: 10/17/2019 <br /> Address: 9484 WEST LANE , STOCKTON 95210 <br /> Requestor: LIDDY MCKENZIE, GETTLER RYAN INC. Telephone: (925) 551-7555 <br /> Program Element: 2308- UST RETROFIT Request#: SR0080446 <br /> Inspection Type: 298- UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: ICC Service Tech/Installer Exp. Date: <br /> Manufacturer training: <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site to witness the following soil samples collected by Dan Glaze of GHD. <br /> Under piping <br /> 1) P 5, 2 feet of native soil <br /> 2) P 6, 2 feet of native soil <br /> 3) P 7, 2 feet of native soil <br /> At Stock pile <br /> 4) SP 1 <br /> 5) SP 2 <br /> 6) SP 3 <br /> 7) SP 4 <br /> The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of the California Health and <br /> Safety Code. If a reinspection is required,fees will be assessed at the current hourly rate. <br /> Received by: Name and Title: Brandon Smith, Project Manager <br /> EH Specialist: PAUL NSO Phone: (209)468-3432 <br /> SR0080446 SC298 10/17/2019 <br /> EHD 23-01 Rev.06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />
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