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REMOVAL 2005
Environmental Health - Public
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EHD Program Facility Records by Street Name
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WATERLOO
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4315
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2300 - Underground Storage Tank Program
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PR0231760
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REMOVAL 2005
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Entry Properties
Last modified
8/23/2019 9:50:05 AM
Creation date
8/22/2019 2:30:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
2005
RECORD_ID
PR0231760
PE
2351
FACILITY_ID
FA0003831
FACILITY_NAME
WATERLOO FOODMART
STREET_NUMBER
4315
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215-2305
APN
08710034
CURRENT_STATUS
01
SITE_LOCATION
4315 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Pacific Chemical Labs. inc <br />San Diego San Francisco <br />(858)586-2114 (510)583-0075 <br />Chemist Certificate_ <br />Serial Number <br />t� A rt? SSS 2V I C �'s __ <br />Surve Requested By VesssalOwnerorAgent k) A- -00 Date <br /><� kin, fi�- f-,r�..�c�S U ooeeL G c c etc o S K C` 774 h -- ---- -S 7DC k, a N <br />Vessel Vessel Type Spe�icy cioaaf 66 01 Vsse, <br />Lest (3) Three Loadings Tests Performed 1 ime Survey Completed <br />Aimlies to these spaces: 80 176 PA /h % D O L E <br />-7 A wk #" L FL cl Z- <br />/ 3c <br />/3G lk(J -) U 20180/. <br />13 6 i k�-f -z 2 (),/6 o Z o, k �� <br />Test Results: <br />— <br />GembagfttTGas <br />Vola 'an(c ompounds <br />Bate <br />-Joe <br />Requirements and Qualifications: <br />-f /V 0v-1Lc /-/-,4v E S'r-- rry C L w o44Vt+ -V) /4" 6 <br />f tt r FKrC G t= f'At--vtOLtt f"2o41-x-e-T <br />7';-i-&vkc A-0.0 iW ti FrA,/� r`JJoCA-� <br />T(f(._if Zz (_7 6aCAT1owS <br />�wN lG �'r5 <br />-55 L F "7 <br />556 88 <br />QUALIFICATIONS: Transte'r of iiallsst of m411pujri{Ib`N M YbW§ or closure 6gUiphidht landing to alter conditions Irl p{peiines, tanks, or compartments subject to gas accumulation, unless specifically approved int is <br />certificate, required Inspection and a new certificate for spaces so affected. All lines, vanls, and similar enclosed appurtenances shall be considered "not safe" unless other wise specifically designated. Movement <br />of the vassal frau Its specific location voids the certificate unless shifting of vessel within the facility has been specifically authorized on this certificate. <br />STANDARD SAFETY OESIGNAtIONS(pattlet) list, paraphrased from NFPA Soe Subsedloni 4.3.1 through 4.3.6) <br />ATMOSPHERE SAFE FOR WORKERS: In the comortmenl or space so designated; (a) the oxygen content of the atmosphere is at least 19.5 percent and not greater than 22 percent by volume; (b) the <br />concahlrellorl of flAmmebie materiels Ii below i0 percent of the lower explosive limit; (c) any toxic materials in the atmosphere associated with cargo, fuel, tank coatings, inning mediums, or fumigants are within <br />permissibI6 concentrations At the time of the Irispeclioil. <br />NOT SAFE FOR WORKERS: In the compartment or space so designated, entry shall not be permitted. <br />ENtER Wii1t ttEStttiCtlONS: In the compartment of space to designated, entry for Work shall be permitted only N conditions of proper protective equipment, or clothing, or time, or all of the aforementioned, as <br />approptiate, are 6s specified. <br />SAFE FOR HOT WORK In the compartment or space to designated (a) the oxygen content shall not exceed 22 percent by volume; (b) the concentration of flammable materials is below 10 percent of the lower <br />explosive limit; (c) the residua, scale, or preservative coatings shall be cleaned 9LAciently to prevent the spread of fire and shall not be capable of producing a higher concentration than permitted by (a) or (b): (d) <br />all adjacent spaces, containing or having contained flammable or combustible materials shall be sufficiently cleaned of tesidues, stele, or preservative coatings to prevent the spread of fire; or shall be inened. <br />Ship's fuel tanks, lube tanks, or engine room or fire room bilges, or other machinery spaces, shall be treated in accordance with Nie Marine Chemist's requirements. <br />SAFE Pon LIMITED HOT WORK In tie compailmenl or space so designated (a) portions of the space shall meal tie requirements Safe for Hol Work and Partial Cleaning, as applicable, or (b) the space shall be <br />inerted, edjecanl §pace§ shall meet that toUlremenld Sats for Hot Work, and hot Work shall be limited to specific locations: or (c) portions of the space shall meet the requirements of Safe for Hot Work, as <br />applicable; and the nature or lypis of hot work shall be limited or restricted. <br />NOT SAFE FOR HDt WORK In the compartment of space so designated, hot work shaft not be permitted. <br />CHEMISTS ENDORSEMENT. This is to certify that have personally determined that all space In the foregoing list ere i4do NFPA 306 Control of Gas Hazards on Vessels and have found the condition <br />the urx)arilpnsd ileknowledges receipt of this cartificota Under 306 arl understands This certconditions existing at the time of Inspection herein set forth as completed <br />conditions Arid (Imitations under *hich it was Issued. end Is Issmpllence ) alt qua I Iona end Instructions.olj�lNed Signed 633 <br />Corr pap r Hodry M. sonans" Cord0cah No. <br />
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