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INSTALL_2018
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231532
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INSTALL_2018
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Entry Properties
Last modified
9/22/2021 10:24:33 AM
Creation date
11/8/2018 10:24:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
INSTALL
FileName_PostFix
2018
RECORD_ID
PR0231532
PE
2351
FACILITY_ID
FA0000185
FACILITY_NAME
CITY GAS & LIQUOR
STREET_NUMBER
16470
STREET_NAME
CAMBRIDGE
STREET_TYPE
ST
City
LATHROP
Zip
95330
APN
19643032
CURRENT_STATUS
01
SITE_LOCATION
16470 CAMBRIDGE ST
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\kblackwell
Supplemental fields
FilePath
\MIGRATIONS3\C\CAMBRIDGE\16470\PR0231532\INSTALL 2018.PDF
QuestysFileName
INSTALL 2018
QuestysRecordDate
7/2/2018 8:57:03 PM
QuestysRecordID
3932889
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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Program Element:2303 - UST/PIPING INSTALLATION <br />Telephone:(209)321-4134Requestor:AMARJIT KHINDA, CITY GAS & LIQUOR <br />Inspection Type:131 - UST INSTALLATION INSPECTION <br />Address:16470 CAMBRIDGE ST , LATHROP 95330 <br />Date:01/07/2019Name of Facility:CITY GAS & LIQUOR <br />Underground Storage Tank Program Service Request Inspection Report <br />Time Out: <br />Time In: <br />San Joaquin County <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, CA95205-6232 <br />Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sjgov.org/ehd <br />Request #:SR0076483 <br />Onsite Service Technician:Joseph Bartholdi ICC Service Tech/Installer Exp. Date:11/08/2020 <br />Manufacturer training:Veeder-Root, 02/03/19 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />NOTES <br />On site for the following: <br />-Verified brine level in the 91/diesel tank annular. <br />-Verified the monitoring panel reads 'All functions normal.' <br />-Received the completed tank installation checklist. <br />-Verified vacuum communication on all product piping, vapor recovery piping, and vent piping. <br />-Verified installation of fiberglass Bravo Retrofit Plates attached to the metal UDCs on dispensers 3/4 and 7/8. Additional <br />approval is needed from the manufacturer to confirm installation is adequate. <br />-Assisted the owner, AJ Khinda, with CERS documents. The site map is incomplete and inaccurate.The CERS submittal could <br />not be completed. <br />The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of the California Health and <br />Safety Code. If a reinspection is required, fees will be assessed at the current hourly rate. <br />Received by:Name and Title: <br />EH Specialist:Phone:(209) 468-3440 <br />Amarjit Khinda, Owner <br />STACY RIVERA <br />Page 1 of 1EHD 23-01 Rev. 06/30/15 Underground Storage Tank Program Service Request Inspection Report <br />FA0000185 SR0076483 SC131 01/07/2019
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