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COMPLIANCE INFO_2006-2011
Environmental Health - Public
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EHD Program Facility Records by Street Name
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C
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COUNTRY CLUB
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2575
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2300 - Underground Storage Tank Program
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PR0231070
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COMPLIANCE INFO_2006-2011
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Last modified
2/22/2023 1:52:51 PM
Creation date
6/3/2020 9:43:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2006-2011
RECORD_ID
PR0231070
PE
2351
FACILITY_ID
FA0006439
FACILITY_NAME
COUNTRY CLUB MOBIL CIRCLE K
STREET_NUMBER
2575
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
CURRENT_STATUS
01
SITE_LOCATION
2575 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2351_PR0231070_2575 COUNTRY CLUB_2006-2011.tif
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EHD - Public
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C <br />11 <br />Afforda—Te't <br />Owner/Contractor/Eng: <br />SITE NAME: Country Club 76 <br />Site 2175 Country Club Blvd <br />Stockton CA <br />Phone: <br />Operator Name: <br />416 2nd Street <br />Galt, California 95632 <br />209 744-0112 800 524-9087 FAX 209 744-0116 <br />TEST DATE: 5-19-09 <br />Felix Ramirez <br />TECH SIGNATURE:Garrett <br />oTTL # 08-1790 1 ICC #k273934 -UT <br />LEAK DETECTOR <br />TEST REPORT <br />ENVIRONMENTAL HEALTH AGENCY: <br />San Joaquin <br />F X7 present Not Present <br />INSPECTOR NAME: <br />LD2000 <br />LEAK DETECTOR KEY <br />C FE Petro STP -MLD <br />G Red Jacket FXIV <br />D2 <br />FB <br />D FE Petro STP- D -E <br />H Red Jacket FXIVD <br />E FE Petro STP -MLD -D <br />F FE Petro STP -MLD -DE <br />J Other <br />FTA LEAK DETECTOR TEST INFO iovsiTION Mb=to <br />5i <br />Dispenser Product <br />Number <br />5 87 <br />LD Key Serial # Resiliency Opening Test Leak Rate <br />Time <br />from above in seconds MLer Minute <br />G 120 2 189/3 <br />Functional Metering PSI <br />Element <br />Holding PSI Pass/Fail <br />15 12 PASS <br />5 91 <br />G <br />170 2 189/3 <br />16 12 PASS <br />5 DIE <br />G <br />120 2 189/3 <br />14 13 PASS <br />
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