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COMPLIANCE INFO_2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BENJAMIN HOLT
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2300 - Underground Storage Tank Program
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PR0231952
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COMPLIANCE INFO_2019
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Last modified
7/2/2021 4:22:52 PM
Creation date
9/14/2020 3:21:12 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0231952
PE
2351
FACILITY_ID
FA0003712
FACILITY_NAME
CHEVRON STATION #94275*
STREET_NUMBER
2905
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
09760004
CURRENT_STATUS
01
SITE_LOCATION
2905 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\kblackwell
Tags
EHD - Public
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CERS=California Environmental Reporting System, ID=Identification, <br />UNDERGROUND `STORAGE TANK <br />MONITORING SYSTEM CERTIFICATION FORM (Page 3 of 6) <br />Monitoring Device Used <br />Device Model # <br />Monitoring Device Used <br />Device Model # <br />Vent/Transition Sump ID: VENT BOX <br />Vent/Transition Sump ID: <br />' Sump Sensor <br />794380-208 <br />I7, Sump Sensor <br />r VPH Sensor <br />I7, VPH Sensor <br />UDC ID: 1/2 <br />UDC ID: 3/4 <br />Electronic Sensor <br />794380-208 <br />W/ Electronic Sensor <br />794380-208 <br />I7 Mechanical Device <br />( Mechanical Device <br />r' VPH Sensor <br />VPH Sensor <br />UDC ID: 5/6 <br />UDC ID: 7/8 <br />Electronic Sensor <br />794380-208 <br />W Electronic Sensor <br />794380-208 <br />Mechanical Device <br />F Mechanical Device <br />r VPH Sensor <br />r, VPH Sensor <br />UDC 1D: 9/10 <br />UDC ID: 11/12 <br />Electronic Sensor <br />794380-208 <br />r Electronic Sensor <br />794380-208 <br />Mechanical Device <br />r Mechanical Device <br />VPH Sensor <br />VPH Sensor <br />UDC ID: 13/14 <br />UDC ID: 15/16 <br />Electronic Sensor <br />794380-208 <br />Electronic Sensor <br />794380-208 <br />r Mechanical Device <br />I Mechanical Device <br />r VPH Sensor <br />I` VPH Sensor <br />Other Monitored Component ID: <br />Other Monitored Component ID: <br />Other(Specify in section VII) <br />Other(Specify in section VII) <br />Other Monitored Component ID: <br />Other Monitored Component ID: <br />rOther(Specify in section VII) <br />rOther(Specify in section VII) <br />Other Monitored Component ID: <br />Other Monitored Component ID: <br />Other(Specify in section VII) <br />rOther(Specify in section VII) <br />Include information for every underground storage tank component monitored by this monitoring system control panel. If the monitoring system <br />control panel monitors more components than this form accommodates additoinal copies of these pages may be attached. <br />VII. COMMENTS <br />Use this section to provide any additional comments about the inventory of the equipment certified. <br />UST=Underground storage tank, ICC=International Code Council <br />
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