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COMPLIANCE INFO_2019
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231766
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COMPLIANCE INFO_2019
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Last modified
6/28/2021 4:43:53 PM
Creation date
9/15/2020 11:37:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0231766
PE
2361
FACILITY_ID
FA0003717
FACILITY_NAME
CHEVRON STATION #99840*
STREET_NUMBER
4344
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
Rd
City
Stockton
Zip
95215
APN
10102156
CURRENT_STATUS
01
SITE_LOCATION
4344 E Waterloo Rd
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\kblackwell
Tags
EHD - Public
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Tanknology Impact Valve <br /> Inspection <br /> Impact Valve Operational <br /> Inspection <br /> Work Order: 2342789 Date: 11/12/2019 <br /> Site Name/ID: CHEVRON#99840(N31) <br /> Address: 4344 E WATERLOO RD @ 99 <br /> City: STOCKTON State: CA Zip: 95215 <br /> How Inspected: Line Test r NFPA 30A r PEI RP120017 Other r <br /> Dispenser Secure Valve <br /> Number Grade Mount? Lock? Pass/ Fail Comments <br /> 1/2 87 5-0 F70 F Pass r Fail r Not Tested <br /> 1/2 91 r r r Pass r Fail r Not Tested <br /> 3/4 87 5-0 W F Pass r Fail r Not Tested <br /> 3/4 91 r W F Pass r Fail r Not Tested <br /> 5/6 87 F-1 r rv- Pass r Fail r Not Tested <br /> 5/6 91 P- r r Pass r Fail r Not Tested <br /> 7/8 87 F-10 I✓ r Pass r Fail r Not Tested <br /> 7/8 91 I✓ rv—' W Pass r Fail r Not Tested <br /> 9/10 87 rv— I✓ r Pass r Fail r Not Tested <br /> 9/10 91 I✓ W r Pass r Fail r Not Tested <br /> 11/12 87 W 17 r Pass r Fail r Not Tested <br /> 11/12 91 FV- r r Pass r Fail r Not Tested <br /> Technician Comments: <br /> Technician Name: Jarrod Cooke <br /> Signature: <br /> Environmental Compliance for Petroleum Systems <br /> @2019 Tanknology Inc.,Austin,TX.All rights reserved.tanknology.com <br />
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