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REMOVAL_1994
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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PR0231390
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REMOVAL_1994
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Last modified
11/19/2024 10:19:49 AM
Creation date
11/4/2018 4:47:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
1994
RECORD_ID
PR0231390
PE
2381
FACILITY_ID
FA0003214
FACILITY_NAME
EASTGATE BUSINESS PARK*
STREET_NUMBER
757
Direction
E
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95378
APN
25026001
CURRENT_STATUS
02
SITE_LOCATION
757 E ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\E\ELEVENTH\757\PR0231390\REMOVAL 1994.PDF
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EHD - Public
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SAN JOAQUIN COUNTY <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />te10 E HAZELTON AVE. STOCKTON. CA 95205 <br />DEVELOPMENT SERVICES PHONE 1209) 468.3120 <br />PLANNING PHONE 12091468-3120 <br />BUILDING PHONE 12091 468.3123 <br />NEIGHBORHOOD PRESERVATION PHONE (209) 4683021 <br />Project Location <br />Owner <br />Contractor <br />BACKFILL EXCAVATION CERTIFICATE <br />Phone No. <br />Phone No. <br />License No. <br />INDICATE METHOD OF BACKFILL QUALITY ASSURANCE <br />1. Submission of Soil Engineer's compaction Report within 30 days of project <br />completion, or <br />2. Submission of verification, e.g. load ticket, within 30 days of project <br />completion that one of the following materials was placed in the excavation in <br />12" lifts: <br />A. Pea gravel - smooth, rounded material not more than one-half (1/2) <br />inch in diameter. <br />B. Crushed rock - self -compacting material not more than three-quarters <br />(3/4) inch in cross sectional measurement. (Use of crushed rock <br />will not be permitted for backfill if contact will be made between <br />the backfill material and tanks/pipes made of poly resin glass or <br />similar materials.) <br />DECLARATION <br />I hereby certify that a Soil Engineer's Compaction Report will be submitted within 30 days <br />of project completion, or submission of verification that the select material described above <br />will be placed at a minimum of five (5) cubic yards per 1000 gallon tank displacement and <br />that the entire excavation will be backfilled and compacted to insure compliance with the <br />Uniform Building Code Appendix Chapter 70. <br />Name (Print) _ <br />Title (Print) <br />,t <br />Signature <br />* Shall be the responsible managing employee on the license or authorized <br />agent. <br />6/91-LC/BECERT.DOC <br />
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