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COMPLIANCE INFO 2007-2012
Environmental Health - Public
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DR MARTIN LUTHER KING JR
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2300 - Underground Storage Tank Program
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PR0231057
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COMPLIANCE INFO 2007-2012
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Entry Properties
Last modified
7/6/2020 4:40:12 PM
Creation date
11/4/2018 3:09:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2007-2012
RECORD_ID
PR0231057
PE
2361
FACILITY_ID
FA0003720
FACILITY_NAME
CHARTER WAY PETRO INC.
STREET_NUMBER
508
Direction
W
STREET_NAME
DR MARTIN LUTHER KING JR
STREET_TYPE
BLVD
City
STOCKTON
Zip
95206
APN
16504016
CURRENT_STATUS
01
SITE_LOCATION
508 W DR MARTIN LUTHER KING JR BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\D\DR MARTIN LUTHER KING JR\508\PR0231057\COMPLIANCE INFO 2007-2012.PDF
QuestysFileName
COMPLIANCE INFO 2007-2012
QuestysRecordDate
2/15/2018 12:34:40 AM
QuestysRecordID
3795241
QuestysRecordType
12
QuestysStateID
1
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EHD - Public
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Mab 07 07 02: 44p Elite Iv Contractors Inc 2094616342 p. l <br /> TANKS <br /> f <br /> E UNDERGROUND STORAGE TANKS-INSTALLATION <br /> CERTIFICATE OF COMPLIANCE <br /> { page Per tank) <br /> L FACII-MY IDENTIFICATION <br /> MYS04ESS NAME r5 —771 EE/o�f�D9R-Dnx B.m Aq )6! <br /> 1✓viR. <br /> Adx3RE�s(lw lc�vre any) J . <br /> 5 � Jr �.L <br /> FAL'.A Y s t T&W 0 a <br /> !r 7 f <br /> IL INSTALLATION <br /> (Ch"*ap Uw apply) <br /> The aksfifler has been trained and certified by the tank and piping manufacturers. <br /> The installation has been inspected and certified by a regirsbw d professional engineer having education and <br /> experience wAn underground storage tank ii%tallations. <br /> ! The insta$ation has leen inspected and approved by the unified Program Agency_ <br /> AI work fisted on the manufacbi ar s installation checlfist has been coi repleted ! <br /> i <br /> The issTafer has been certified or licensed by the ContractorsState Lice4z e,Board. <br /> The underg=nd storage tank.any primary ptMq.and secondary cont?jnment was installed according to f <br /> applicable vo uniary consensus starxtards and written manutactimefs insialabon procedures_ De cripbon of <br /> work being cerSfeei E€ <br /> E <br /> t <br /> i <br /> I <br /> Tec f <br /> 61.TANK OWNER/AGENT SIGNATEIM <br /> ra.nrfeven..em.&np-;whw—aberb-9 of bw",dW. <br /> SIC.YARM?Z 4F TALC OW HERBAGEW QATc i <br /> NiMIE -- <br />
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