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COMPLIANCE INFO_PRE 2019
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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PR0231105
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COMPLIANCE INFO_PRE 2019
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Entry Properties
Last modified
1/13/2021 12:06:12 PM
Creation date
11/5/2018 9:51:57 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0231105
PE
2361
FACILITY_ID
FA0003729
FACILITY_NAME
POLAR WATER INC
STREET_NUMBER
1029
Direction
W
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95203
APN
13527055/56
CURRENT_STATUS
02
SITE_LOCATION
1029 W FREMONT ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\F\FREMONT\1029\PR0231105\COMPLIANCE INFO PRE 2016.PDF
QuestysFileName
COMPLIANCE INFO PRE 2016
QuestysRecordDate
5/2/2013 8:00:00 AM
QuestysRecordID
144146
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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2 <br />RAMtbN <br />1401 Halyard Dr., #130,W. Sacramento, CA 95691 <br />Tank Testing& Service Station Maintenance (916) 372-7535 <br />AINLAY TAN K'TEG RITY TESTER`" FIELD TEST DATA <br />TANK <br />OPERATOR <br />TANKS TO <br />BE TESTED <br />NAPE ADDRESS PHONE <br />n�a2 LJa�ev coq-</6G•G�6/ <br />IDENTIFICATION I CAPACITY -GALS. I MANUFACTURER <br />WATER <br />TABLE DISTANCE FROM GRADE TO WATER INS. <br />4 TANK WILL BE FILLED. TIP1 (TIME) ON <br />TANK EXTRA 5 GALS PRODUCT AVAILABLE FROM <br />FILL -UP FILL UP TO BE ARRANGED BY MR. RU c <br />CONTACT AT STORAGE TERMINAL IS MR. <br />OUTSIDE <br />CONTRACTORS <br />6 <br />OFFICIALS <br />TO BE <br />CONTACTED <br />7 <br />SPECIAL <br />NOTES OR <br />PRECAUTIONS <br />a <br />TEST <br />RESULTS <br />NAME <br />ADDRESS <br />STEEL/FIBRGLS. I AGE -YRS. <br />rs 7l /bb-f,/AW <br />PHONE( ) <br />PHONE <br />PHONE <br />P09-L16f-3y.-O <br />vi <br />DEC 15 1999 <br />ENVIRONMENTAL HEAL.- <br />PERMIT/SERVICES <br />ALL TESTS WERE PERFORMED IN ACCORDANCE WITH PROCEDURES DESCRIBED IN SOILTEST'S <br />INSTRUCTION BOOK. CRITERIA FOR TIGHTNESS IS ESTABLISHED BY NATIONAL FIRE PROTECTION <br />ASSOCIATION BULLETIN. N.F.P.A. 329. <br />TANK IDENT TANK IS <br />TIGHT <br />TANK IS LEAK RATE <br />NOT TIGHT G. P. H. <br />TEST DATE <br />ars11 <br />- oo <br />-/• <br />9 THIS CERTIFIES THAT THE TANKS DESCRIBED WERE TESTED BY THE UNDERSIGNED AND THAT THE STATED <br />RESULTS REPRESENT THE TRUE STATE OF THE TANKS ON THIS DATE TO THE BEST OF MY KNOWLEDGE. <br />CERTIFICATE NO. 1411 <br />CERTIFICATION SIGNED 1 NAY /� ���n ISSUE DATEQ Ir <br />FOR (TEST COMPANY) IM 1MCON <br />ADDRESS Tank Testing& Service Station Maintenance <br />P.O. Be. 1024 <br />West Sacramento, California 95691 <br />
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