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COMPLIANCE INFO_2021
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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PR0515864
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COMPLIANCE INFO_2021
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Last modified
12/2/2021 11:32:07 AM
Creation date
1/5/2021 8:17:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0515864
PE
2361
FACILITY_ID
FA0012355
FACILITY_NAME
A&A GAS FOOD MART
STREET_NUMBER
1330
Direction
E
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
22120053
CURRENT_STATUS
01
SITE_LOCATION
1330 E YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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S A J O A Q U I N Environmental Health Department <br /> COUNTY <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> A&A GAS FOOD MART 1330 E YOSEMITE AVE, MANTECA November 03, 2021 <br /> -Letter from Chief Financial Officer Form <br /> -Designated Understanding Storage Tank Operator Identification Form <br /> -Statement of Understanding and Compliance Form <br /> AFTER THE COMPLIANCE DATE, EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br /> THIS FACILITY BACK INTO COMPLIANCE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: Date: November 08, 2021 Inspector: Inspector Phone: <br /> Printed Name and Title: SHEWIT WOLDEAREGAY, EH Specialist (209)616-3063 <br /> Emailed to Ghulam Ali, Operator <br /> FA0012355 PR0515864 SCO01 11/03/2021 <br /> EHD 23-01 Rev.9/16/2020 Page 12 of 12 Underground Storage Tank Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/EHD <br />
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