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COMPLIANCE INFO_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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YOSEMITE
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1330
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2300 - Underground Storage Tank Program
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PR0515864
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
1/17/2024 12:02:00 PM
Creation date
10/26/2023 4:59:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0515864
PE
2361
FACILITY_ID
FA0012355
FACILITY_NAME
A&A GAS FOOD MART
STREET_NUMBER
1330
Direction
E
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
22120053
CURRENT_STATUS
01
SITE_LOCATION
1330 E YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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TO <br /> I <br /> II <br /> II <br /> I <br /> i <br /> --�� I, 6 . OWNER I OPERATOR ACKNOWLEDGEMENT OF INSPECTION RESULTS <br /> -�I II I have reviewed the results of the designated UST operator inspection report and provided a <br /> --HEWREBYESY I ` I description of the action (s) taken or to be taken to correct any compliance issues discovered. <br /> I <br /> 13 PLACED II Name of UST Owner / Operator (print) p <br /> A <br /> , UST Owner/Operator Signature <br /> QTV Date Signed <br /> 11 / 18/2022 <br /> i 7 . INSPECTION HISTORY <br /> Has each follow-up action of Section 3 from the previous Designated <br /> Operator Inspection Report been completed appropriately? g d UST Yes No NA <br /> 1 Attach documentation veri in ✓ <br /> a <br /> r <br /> o r" ❑ <br /> gate sere ' ❑ ❑ <br /> 8 • RELEASE DETECTION ALARM HISTORY ice to this re ort <br /> I Attach a co <br /> py of the alarm history report//o <br /> Is the monitoring system 9 to this report Yes No NA <br /> Has each powered on and in proper operating mode ? ❑✓ ❑ <br /> (Attach alarm since the <br /> do previous inspeCtion been responded to <br /> Have mentation verifying a appropriately? ✓ <br /> ali containment su appropriate service to this report ) ❑ ❑ ❑ <br /> � desi <br /> 9nated UST o mpg , that have had an alarm tec Aerator inspection re since the Previous <br /> 4 . <br /> �7 hnician? port, been responded to by a qualified ❑ ❑ © <br /> ' All <br /> 1' en ►narked uNo .yrI <br /> must be d <br /> escribed by the desion;Qf, 1 � r <br />
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