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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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MARCH
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2300 - Underground Storage Tank Program
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PR0231176
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COMPLIANCE INFO_2021
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Last modified
12/28/2021 11:18:11 AM
Creation date
1/12/2021 7:27:49 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231176
PE
2361
FACILITY_ID
FA0003798
FACILITY_NAME
MARCH LANE 76*
STREET_NUMBER
2701
Direction
W
STREET_NAME
MARCH
STREET_TYPE
LN
City
STOCKTON
Zip
95219
APN
11619007
CURRENT_STATUS
01
SITE_LOCATION
2701 W MARCH LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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Appendix VI <br /> Underground Storage Tank <br /> Monitoring System Certification Form <br /> TYPE OF ACTION ❑Installation ❑Repair ❑✓ 12 Month <br /> 1. FACILITY INFORMATION <br /> CERS ID Certification Date <br /> 10181433 12/09/2020 <br /> Facility Name <br /> UNOCAL76 <br /> Facility Address City ZIP Code <br /> 2701 West March Ln. Stockton 95219 <br /> [2, SERVICE TECHNICIAN INFORMATION <br /> Company Performing the Certification Phone <br /> Service Station Systems, Inc. (408)971-2445 <br /> Mailing Address <br /> 680 Quinn Ave. San Jose,CA 95112 <br /> Service Technician Performing Test <br /> Krisopher Bell <br /> Contractor/Tank Tester License Number <br /> 485184 <br /> ICC Number ICC Expiration Date <br /> 8833000 07/28/2022 <br /> 3. TRAINING AND CERTIFICATIONS <br /> Manufacturer and Test Equipment Training Certifications Expiration Date <br /> Veeder Root TLS-3XX#B33709 03/25/2021 <br /> Vaporless Manufacturing Inc#1324/3225 11/01/2021 <br /> Red Jacket#1333709 03/25/2021 <br /> Franklin Fueling Site Safety#1004933708 09/14/2021 <br /> FE Petro#1004933708 07/09/2022 <br /> 4. CERTIFICATION BY SERVICE TECHNICIAN CONDUCTING TEST <br /> I hereby certify that the monitoring system is operational in accordance with California Code <br /> of Regulations, title 23, division 3, chapter 16, section 2638; that required supporting <br /> documentation is attached; and all information contained herein is accurate. <br /> Service Technician Signature Date Total # of Pages <br /> 12/09/2020 6 <br /> CERS = California Environmental Reporting System, GPH = Gallons Per Hour, ID = Identification, <br /> ICC = International Code Council, LLD = Line Leak Detector, NA = Not Applicable, SW = Single- <br /> Walled, UDC = Under-Dispenser Containment, UST = Underground Storage Tank, <br /> VPH = Vacuum/Pressure/Hydrostatic <br /> Page 1 of 6 <br />
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