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COMPLIANCE INFO_2010 - 2018
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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PR0231433
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COMPLIANCE INFO_2010 - 2018
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Last modified
2/19/2020 2:01:21 PM
Creation date
2/19/2020 10:04:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2010 - 2018
RECORD_ID
PR0231433
PE
2361
FACILITY_ID
FA0003685
FACILITY_NAME
DBA CIRCLEK, REFUEL PETROLEUM INC.
STREET_NUMBER
419
Direction
S
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21938610
CURRENT_STATUS
01
SITE_LOCATION
419 S MAIN ST
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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KBlackwell
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EHD - Public
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JUN 2 6 2015 <br /> [ENVIRONMENTAL.. <br /> .,T <br /> ALTERNATE 6(Optional) <br /> Designated Operator's Name: David Martin Relation to UST Facility(Check One) <br /> Business Name(f I di erent om above :Franzen-Hill Corp.ff fr ) P ❑ Owner ❑ Operator ❑ Employee <br /> Designated Operator's Phone 559-8044618 X Service Technician X Third-Parry <br /> International Code Council Certification#: 5246124-UC Expiration Date: 10-6-2016 <br /> ALTERNATE 7(Optional) <br /> Designated Operator's Name: James Flowers Relation to UST Facility(Check One) <br /> Business Name(If dif,j`erent from above):Franzen-Hill Corp. ❑ Owner ❑ Operator ❑ Employee <br /> X Service Technician X Third-Party <br /> Designated Operator's Phone 559-972-5087 <br /> International Code Council Certification#: 8036233-UC Expiration Date: 1-8-2017 <br /> ALTERNATE 8(Optional) <br /> Designated Operator's Name: Ruben Galindo(No longer with Franzen- Relation to UST Facility(Check One) <br /> Business Name(If different from above):Franzen-Hill Corp. ❑ Owner ❑ Operator ❑ Employee <br /> Designated Operator's Phone 559-688-2977 X Service Technician X Third-Party <br /> International Code Council Certification#: 8028971-UC Expiration Date:7-1-2016 <br /> ALTERNATE 9(Optional) <br /> Designated Operator's Name: Ron Rocha(No longer with Franzen-Hill) Relation to UST Facility(Check One) <br /> Business Name(If differentfrom above):Franzen-Hill Corp. ❑ Owner ❑ Operator ❑ Employee <br /> X Service Technician X Third-Party <br /> Designated Operator's Phone 559-688-2977 <br /> International Code Council Certification#:215601-UC Expiration Date:6-1-2015 <br /> ALTERNATE 10(Optional) <br /> Designated Operator's Name: Lyle Meeks(No longer with Franzen- Relation to UST Facility(Check One) <br /> Business Name(If dierent from above):Franzen-Hill Corp. ❑ Owner ❑ Operator ❑ Employee <br /> X Service Technician X Third-Party <br /> Designated Operator's Phone 559-688-2977 <br /> International Code Council Certification#: 00214347-UC Expiration Date:5-1-2015 <br /> I certify that, for the facility indicated at the top of this page, the individual(s) listed above will <br /> serve as Designated UST Operator(s). The individual(s)will conduct and document monthly <br /> facility inspections and annual facility employee training, in accordance with California Code of <br /> Regulations,title 23, section 2715(c) - (f). <br /> Furthermore, I understand and am in compliance with the requirements (statutes, <br /> regulations, and local ordinances) applicable to underground storage tanks. <br /> NAME OF TANK OWNER/OPERATOR(Please Print): 01-11.T <br /> SIGNATURE OF TANK OWNER/OPERATOR <br /> DATEVA� <br /> J��� OWNER'S PHONE#: _k`t <br /> i <br /> Page 2 January 2015 <br />
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