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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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. M w <br /> UST SYSTEM RORREPAR <br /> (Submit minimum of 3 seta of purls,S applicadens as aftWials will kw retained by EHE) <br /> ?. Sim map enclosed? YES I I fes' <br /> 2. Submit copies of 10-Servicer Technician anWor I oWler's cerIffbeate and all man tbcturer training certificates for <br /> ea&pensorr inuring or testing any co vrpwm*got is rem or replaced. Ensum a copy&d-oe"Ste Health <br /> and SOW PlaW is available on thojobsift as ren by Tither 6 <br /> 3. Detailed description of work to be complotel list cmTpanents to be repaired or meplaced and attach a diagram <br /> dravrn to scale sh wing locafiorr of repairs arWor rooscerrrerift Wrepairing acompoiTvt descries hoar this will <br /> be dare (If adding pipiro UDC* or other ISP equipment; or perkriming tants top upgrade, use the UST <br /> installation Application pages 44 as necessary fbr stim0i plan rte): <br /> q/ Gc-4a.'r- - 4111 Seta <br /> 3O� <br /> u`d Jh ne,,) Veeje t <br /> Te-4-f- re A Ifetilh-t't - Set?SetI &i i It.- i%t,ee_.-/-ci r - <br /> 4. List otequipinerrttapbeused(Mach manuflacturees,speaffa rsheetsshowingdrir6-partyapproval): <br /> 3 <br />
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