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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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PR0231801
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
9/15/2020 12:35:19 PM
Creation date
9/15/2020 11:59:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0231801
PE
2361
FACILITY_ID
FA0003290
FACILITY_NAME
COUNTRY MART GAS & FOOD
STREET_NUMBER
34243
Direction
S
STREET_NAME
CHRISMAN
STREET_TYPE
RD
City
TRACY
Zip
95304
APN
25318004
CURRENT_STATUS
01
SITE_LOCATION
34243 S CHRISMAN RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
KBlackwell
Tags
EHD - Public
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OI ERFILL WORKSHEET <br /> Affo&-Test <br /> Facility Name: �� INFORMATIONAL ONLY <br /> Facility Address: <br /> Facility Name: <br /> OVERFILLS: 1-30-19 <br /> Tank Charts: <br /> 1. TANK INFORMATION <br /> Test Method Developed By: X Tank Manufacturer dustry Standard _ Professional Engineer <br /> Tank# I Tank#2 Tank#3 Tank#4 <br /> Tank Capacity: <br /> Tank Material: ' i <br /> Tank Manufacturer: <br /> Product Stored: ' G^ <br /> Diameter: f JJI J l SJ J>1 fU <br /> Length: <br /> Inches to the bottom of Tank: g K / 10 U <br /> Volume of Overfill 1"(o <br /> PASS PASS <br /> PASS <br /> Test Result: Pass/Fail Pass/Fail Pass/Fail Pass/Fail: <br /> Comments— (include infor►nation on repairs made prior to testing, and recommended follotiv-tip for failed tests) <br />
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