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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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PR0231405
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COMPLIANCE INFO_2022
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Last modified
11/17/2023 5:42:33 AM
Creation date
2/10/2022 9:23:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0231405
PE
2361
FACILITY_ID
FA0003164
FACILITY_NAME
NORTH POLE GAS & FOOD INC
STREET_NUMBER
574
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
574 W GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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Underground Storage Tank <br /> Designated UST Operator Visual Inspection Report <br /> 10. TESTING AND MAINTENANCE Yes No NA Date last <br /> performed <br /> Has monitoring system certification been completed within the past 0 ❑ 12/13/21 <br /> 12 months? <br /> Has spill container testing been completed within the past ® ❑ 12/13/21 <br /> 12 months? <br /> Has overfill prevention equipment inspection been completed within 0 ❑ ❑ 12/14/20 <br /> the past 36 months? <br /> Has secondary containment testing been completed within the past 0 ❑ ❑ 12/02/19 <br /> 36 months? <br /> Has tank tightness testing been completed within required ❑ ❑ 0 <br /> timeframes? <br /> Has line tightness testing been completed within the required ❑ ❑ 0 <br /> timeframes? <br /> Other Test / Maintenance: ❑ ❑ ❑X <br /> Other Test / Maintenance: ❑ ❑ ❑X <br /> Other Test / Maintenance: ❑ ❑ 0 <br /> 11. FACILITY EMPLOYEE TRAINING Yes No <br /> Have all individuals performing facility employee duties received the required facility 0 ❑ <br /> employee training within the past 12 months? <br /> 12. COMMENTS <br /> This section may be used to record comments or observations that are not current compliance <br /> deficiencies. <br /> All answers marked "No"must be described by the designated UST operator in Section 3. <br /> Page 4 of 4 <br />
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