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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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PR0231785
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
10/18/2022 11:04:56 AM
Creation date
3/24/2022 4:04:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0231785
PE
2361
FACILITY_ID
FA0003994
FACILITY_NAME
PERSHING GAS FOR LESS
STREET_NUMBER
4445
Direction
N
STREET_NAME
PERSHING
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11018006
CURRENT_STATUS
01
SITE_LOCATION
4445 N PERSHING AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\kblackwell
Tags
EHD - Public
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4445 North Pershing Avenue PR0231785 <br /> April 28, 2022 Program: UST <br /> PHOTO 1: A new designated operator, Amy Winkler, began conducting inspections on 2/25/2022 and notification was not provided to the EHD within 30 <br /> days of the change. <br /> 1 "esign.te Under9rou�^tlit.,a <br /> FACT d UST d Storage Tank <br /> CERS FACILITY <br /> �peratorVISualInspection Report <br /> Facility <br /> D10181566 ------ <br /> NamePER - <br /> Facility SHING GAS FOR LESS - I^sPectlon Date 2/25/22 <br /> Y Add 's444g -------- <br /> N PERSHING <br /> 2.DESIGNATED UST OP City STOCKTON Zip Code95207 <br /> Name of Desi E'eTOR INFORMATION <br /> Design UST Operator q,nY Winkle,ICC Certification Phone 209-744-0112 <br /> 9951352-UC <br /> 3.COMPLIANCE IS Certification Exp Date 3/26/2023 <br /> j SUES <br /> I /denhfY by number al/com ------- <br /> p/lance issues listed - — - _ -- <br /> I <br /> 4.CERTIFICATION BY DESIGNATED UST OPERATOR CONDUCTING INSPECTION <br /> 1 hereby certify that the visual inspection was performed in compliance with California Code <br /> of Regulations,title 23,division 3,chapter 16,section 2716 and all information provided <br /> herein is accurate. <br /> Designated UST Operator Signature Date Inspection Report Provided to Owner <br /> UBI 2/25/22 <br /> CERS=California Environmental Reporting System,ICC=International Code Council,ID= <br /> Identification, NA=Not Applicable,UDC=Under-Dispenser Containment,UST=Underground II <br /> Storage Tank <br /> Page 1 of 4 <br /> Lydia Baker, SR. REHS Page 1 of 2 <br />
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