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COMPLIANCE INFO_2006 - 2008
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0526212
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COMPLIANCE INFO_2006 - 2008
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Last modified
9/7/2018 2:32:22 PM
Creation date
9/7/2018 2:01:42 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO_2006 - 2008
FileName_PostFix
2006 - 2008
RECORD_ID
PR0526212
PE
2351
FACILITY_ID
FA0017737
FACILITY_NAME
CHEVRON STATION #307709*
STREET_NUMBER
10858
STREET_NAME
TRINITY
STREET_TYPE
PKWY
City
STOCKTON
Zip
95219
APN
06602015
CURRENT_STATUS
01
SITE_LOCATION
10858 TRINITY PKWY
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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A�. <br />SURETY COMPAV of the PACIFIC <br />RATED EXCELLENT By A. PA. SES'T - TREASURY LISTED <br />CAL.t=OFUBA'S LARGEST AND MOST G:kFf,SF91E NC E:7 <br />,A/RITC:t^ or !;CTNTRAr"'1Y,ft6'L.tC'r'i+lSE E34NOS <br />CONTRACTOh'S:TOrl NIV Iti.t1.'I'llON CARD <br />i.l.^.EWF NUM40 - BOND Pe.11Vt8M .- .. <br />8sbil1 63145-01 2005 <br />N C-000 :7rAN01htr3—r,ltl U:I'Ss`.. S <br />1{ENDF_RSON 57ft'ITCE STATTOtt <br />t:0N0 RENEWAL f)ATE LICENSE CLASSI6IC;ATIOn4,t <br />MAR I D-21 D -AO <br />State Of ornia <br />. CONTRACTORS STATE LICERISE BOARD <br />^' ACTIVE LICENSE <br />Caamnew <br />Affair» <br />856771 INDIV <br />HENDERSON MAINTENANCE COMPANY <br />- SERVICE STATION REPAIR AND <br />MAINTENANCE <br />C61 /D21 C61 /D40 <br />04/30/20093:p, <br />WORKERS COMPENSATION HISTORY <br />Insurance Company Policy Effect ve Expire Cancellation <br />Number Date Date Date <br />STATE COMPENSATION INSURANCE 1510508 04/15/2005 04/01/2008 <br />FUND <br />tP VEEDER-ROOT Certified <br />Technician <br />Ile bearer of ft card has sxc f --fly <br />u mpleteci a marufacitrertralrling <br />Course in the listed product(s). <br />Carl Wayne Henderson <br />Techniclan #A2500.1 <br />Expires 6/3/2009 <br />Certified UST Monitoring Technician <br />(Incl. Secondary Containment Vacuum Sensing - CA only) <br />You must contact Technicaf fining Ibarco.com to confirm <br />the current oertification record for this pemon. <br />CARL HENDERSON"' <br />CALIFORNIA LIST SERVICE TECHNICIAN <br />The indtvidual named hereon is CERTIFILD in the category shown, having <br />been so certified pursuant to successful completion of the prescribed written <br />examination. <br />Expiration date: December 15, 2009 <br />No. 5300061 •UT <br />Not valid unless slfrned by certificate holcier. <br />ICC cerdfication attests to competent knowledge of codes and standards. <br />Franklin If tjoling Systems <br />Carl Henderson - Certification #: 2061133760 MW&yne <br />Henderson Maintenance Company S9auu45vauTCgctric,1hr.taittaCertification Tym Exeiiration Date FMS Installation May -,18-2408 PRESENTED To <br />FMS ProgralTlrning Mi3yL 9=20b$ Henderson, Henderson Maintenance Company <br />Electronic line Leak Detection May -29-2008- <br />Prmeated this 94h d,r 0November, 3006 <br />e'm <br />f 1 <br />..-MAW.--10 rNOVIW pCYiY,.V LfM011R TK.�fNF11 tTO.flFf:R/H. GT BOp <br />ta,gMJ,M <br />`itT.P3kd1.!1 tWtJRt!1f1,r9.riTi trllt9bl;R:n,4tR.R�i1'tt1dRPLtt1T::tT9?tfCf9lFftlfAil1lP>11'rA9Ud <br />M I <br />Valporle t y 8tA:4,ta.factt,r sat3, Inc. <br />8700 East Long Mesa Drive <br />Prescott Valley, AZ 88314 <br />Authorized installation Technician <br />Mechanical Line Leak Detector <br />HMC -Henderson Mntc. Co. <br />Carl "Wayne" Handal son - #1080 <br />Expires 0 512 712 0 0 8 <br />Authorized Lly <br />VaporlOss Manufacturing, Inc. <br />8700 East Long Masa Drive <br />Prescott Valley, AZ 86314 <br />Authorized Cata>3itrophlc Teating Technician <br />Vaporlase LDT4" TMter <br />HMC -Henderson Mntc, Co. <br />Carl "Wayne" Henderson - #10'18 <br />Expinou 0332712008 <br />
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