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COMPLIANCE INFO_2022
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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PR0231389
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
11/19/2024 10:19:37 AM
Creation date
1/27/2022 8:40:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0231389
PE
2361
FACILITY_ID
FA0003709
FACILITY_NAME
BILLJAR VALERO
STREET_NUMBER
153
Direction
E
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23336607
CURRENT_STATUS
01
SITE_LOCATION
153 E ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\gmartinez
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EHD - Public
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Billljar Valero— 153 E Eleventh St., Tracy, CA 95376 Record ID PR0231389 <br /> 1/26/2022 <br /> PHOTO# 1 <br /> IMG E1268—Violation#209 <br /> Trainin certificate. No emplo ee initial trainin or assumin responsibility dates. 2 dates of training on the same form. <br /> 6 <br /> UNDERGROUND STOR,,RTIFICATE{vase a°e f1 <br /> FACILITY EMPLOYEE TRAININf'ORMATIDN Gens \33p de <br /> Co <br /> r I FACILITY INF -5-3 <br /> evsi�e-ss NemnegfCseme asF uirr xs.,,e o.oan.oao5 eesn.ss nW ciq 2 ORMATION <br /> s�slress slreL S 3 T3F Gg TANK OF IRATOR t <br /> If. DESIGNATED UNDERGROUND STORA aoa.1 <br /> Gerrdn� <br /> name a oeslgnated usroparemr nm,.m�no me rremiaa rPrfr+t es:Wawa on Ina rcc Pnona09 947-5675 <br /> Andrew Bapiisia <br /> Msp;rs Address radon Date 8/61262 <br /> 745 N.Hear Creek Dr,Merced,Ga 95348 cc Cen acana Exp <br /> icc Led1fl.V a a ORMATION 3e days nt Abe tori performing <br /> 8167864-UC „yghin gl6rpustbetrained <br /> Itl. FACILITY EMPLOYEE INF t be trained 2 <br /> 2018 mus Octob°r13' <br /> to a hefor®Oellity r 13, Be on and atter <br /> Indlilty,�pa�ming the alMduafthefacilityemp Ye rnaum must contaln <br /> fad111Y to duties.Individuals assuming She duties of the <br /> Mare performing facility employee duties. _ nded fist,ata min <br /> nded to Okla lona The apps <br /> Gate o1 A summ9 <br /> Aback Mls box Ila flat of rhe lndividuaf(s)trained Is apps onsihlldY as a <br /> all of rhe frt/ormation!n ehts secN°rr. Rasp <br /> Initial Training Date Facility EmPI°Yee <br /> Name of Individuals)Trained <br /> 21 <br /> Pti't�ML-- <br /> Arc i-{ >= N646 tt <br /> 3 <br /> Rs A2f� �2-&Z� z <br /> ;e <br /> G <br /> IV. CERTIFICATION BY DESIGNATED UST OPERATOR CONDUCTING THIS TRA <br /> r a .. INING .� <br /> faadity empoyees listed above have completed there <br /> qUired 11*23,nivision 3,Chapter 16,Section 2715(c)and all the information proning vided herein is acnce curatlefomia Code of Regulations, r <br /> 7rain��signated UST erator ignatu <br /> !late Of Training <br /> -'* E'n'iWMMURepor sYRem.Ill-Identrcatiat,ICC=Internatlmai Code CaIYrJI,USr=Und <br /> ergoundStordgeTank�'��.�I <br /> Carol Presto, EHS Page 1 of 2 <br />
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