My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO_2022
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
M
>
MARCH
>
1916
>
2300 - Underground Storage Tank Program
>
PR0527728
>
COMPLIANCE INFO_2022
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
1/17/2023 11:09:34 AM
Creation date
5/11/2022 10:45:19 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0527728
PE
2351
FACILITY_ID
FA0018792
FACILITY_NAME
76 GAS STATION
STREET_NUMBER
1916
Direction
E
STREET_NAME
MARCH
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
09603029
CURRENT_STATUS
01
SITE_LOCATION
1916 E MARCH LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\kblackwell
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
114
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
Appendix VI <br /> Underground Storage Tank <br /> Monitoring System Certification Farr <br /> TYPE OF ACTION ❑ Installation ❑ Functionality ❑ Repair ® 12 Month <br /> 1. FACILITY INFORMATION <br /> CERS ID [Ceification Date <br /> 10186885 0/2021 <br /> Facility Name <br /> March Lane 76 <br /> Facility Address City County Zip Code <br /> 1916 March Lane Stockton San Joaquin EMD <br /> 2. SERVICE TECHNICIAN INFORMATION <br /> Company Performing the Certification Phone <br /> BZ Service Station Maintenance 916-371-2380 <br /> Mailing Address <br /> 1041 Triangle Ct, West Sacramento, CA 95805 <br /> Contractor/Tank Tester License Number <br /> 433159 <br /> Service Technician Performing Test <br /> Jeff Raven <br /> ICC Number ICC Expiration Date <br /> 9326216 7/24/2023 <br /> 3. TRAINING AND CERTIFICATIONS <br /> Manufacturer& Test Equipment Training Certifications Expiration Date <br /> VR TLS - C26124 1/22/2022 <br /> VMI LD - 4596 2/3/2022 <br /> 4. CERTIFICATION BY THE SERVICE TECHNICIAN CONDUCTING THE TEST <br /> l hereby certify that the monitoring system is operational in accordance with California Code of <br /> Regulations, Title 23, division 3, chapter 16, section 2638;that required supporting documentation <br /> is attached;and al/information contained herein is accurate. <br /> ServicV11 <br /> nicia azure Date Total # oT Pages <br /> 12/30/2021 <br /> CERS- fornia Environmental Reporting System, GPH= Gallons Per Hour, ID= Identification, ICC <br /> Interna oval Code Council, LLD= Leak Line Detector, NA= Not Applicable, SW= Single Walled, <br /> UDC= Under Dispenser Containment, UST= Underground Storage Tank, VPH= <br /> Vacuum/Pressure/Hydrostatic <br /> Page 1 of 9 <br />
The URL can be used to link to this page
Your browser does not support the video tag.