My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO_2022
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
C
>
CORONADO
>
3807
>
2300 - Underground Storage Tank Program
>
PR0231066
>
COMPLIANCE INFO_2022
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
10/24/2022 4:59:10 PM
Creation date
9/19/2022 11:32:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0231066
PE
2361
FACILITY_ID
FA0003819
FACILITY_NAME
Sprint United Managemnt Co.
STREET_NUMBER
3807
STREET_NAME
CORONADO
STREET_TYPE
Ave
City
Stockton
Zip
95204
CURRENT_STATUS
01
SITE_LOCATION
3807 Coronado Ave
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.
/
20
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 Form <br /> TYPE OF ACTION ❑ Installation ❑ Repair ® 12 Month <br /> 1. FACILITY INFORMATION <br /> CERS ID Certification Date <br /> 10151123 10-14-2022 <br /> Facility Name <br /> Sprint Stockton <br /> Facility Address City ZIP Code <br /> 3807 Coronado Ave Stockton 95204 <br /> 2. SERVICE TECHNICIAN INFORMATION <br /> Company Performing the Certification Phone <br /> Jauregui & Culver inc 760-743-0518 <br /> Mailing Address <br /> 959 W Mission Ave. Escondido CA 92025 <br /> Service Technician Performing Test <br /> Peter Jauregui <br /> Contractor/Tank Tester License Number <br /> 708231 <br /> ICC Number ICC Expiration Date <br /> 8195227 5-13-23 <br /> 3. TRAINING AND CERTIFICATIONS <br /> Manufacturer and Test Equipment Training Certifications Expiration Date <br /> Veeder-Root B34641 2-25-2024 <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 /> 10-14-2022 <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 />
The URL can be used to link to this page
Your browser does not support the video tag.