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COMPLIANCE INFO_2002-2009
Environmental Health - Public
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EHD Program Facility Records by Street Name
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COUNTRY CLUB
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2300 - Underground Storage Tank Program
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PR0231069
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COMPLIANCE INFO_2002-2009
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Entry Properties
Last modified
2/27/2023 4:51:25 PM
Creation date
6/3/2020 9:44:40 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2002-2009
RECORD_ID
PR0231069
PE
2361
FACILITY_ID
FA0001909
FACILITY_NAME
STOP N SHOP
STREET_NUMBER
1856
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
123-191-02
CURRENT_STATUS
01
SITE_LOCATION
1856 W COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231069_1856 W COUNTRY CLUB_2002-2009.tif
Tags
EHD - Public
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Jul 30 08 11 : 38a Afforda-Test (209) 794-0112 <br /> 10 <br /> 19 <br /> (2us) '/HAF-U I <br /> APporos--Test <br /> ri 1 160 <br /> Owner Statements of Designated Underground Storage Tan 1 <br /> and Understanding ofand Compliance with UNT Requi <br /> Faditty.4 <br /> Reason for this form: <br /> Cimitse of L SMDesispm <br /> 3 <br /> C3 LlpdaUCenifkak xVvi ate <br /> DELIGNATED UST()pERATOR FOR THIS FACILITY' <br /> PIUMARY <br /> AFFORVA-TUT 1CC Ad* 524 :15-L.F3U'incss NwM. <br /> ILYLE D.NIM."O <br /> iD�qqje.-ated�Verawr's Nan-' <br /> De5igrocd n.pmwf's MOM A, -409744-0112 <br /> AJLTMNATE I <br /> DAVID A.WINKLER <br /> AFFOPWA-TEST ice 4 <br /> C"Cater",Phone 4, 209744.01i2 <br /> .<ERNAT 2 <br /> !.rANE A. NIMMO <br /> AFF0XD,,k--rE$T 1CCO; 5263322-1UC <br /> 'Denigmtrd'-TCrA'CjrS PbOM; 209 74"112 Expiratiw cwc. 3/14/2U 10 <br /> ALT1E11 3 <br /> LNesig-caice OVwalar%Nam. FELIX G WAMIIRFIZ <br /> Bu6ness':k-alm, AFFORDA-TEST 5273034-U6 <br /> t)0fiie=Md or-crator's MOM 4: 209744-0112 Exdrador DOW: 6/11!2010 <br /> the fa <br /> for the above Ta-W-u Fy--51-3t� 3. c 1ipage.the iadivF <br /> ry mdi Caw at the OF of this p <br /> ()pC,EtC)rS. *rjae;adj-qWusjs-.vil1 co1,odt=.andd0LUU1C0t=0nthJY facility jr-5pow0w mlanzxual facih►v cgpl*e Ding,in <br /> UC0(*brdRn=1,vitb Calh;ornis Code of Kegaiarioa6e title 23.ScctjOID 272-(0 M- <br /> FUrztker?nQrc%I undcrstand aud Alto i"complialwe with The require is (statutes,regtj <br /> 'AFkd*1"gMUAd Start e tanks. <br /> z <br /> N*^TbTF. OF TAN 4' <br /> SIGNATIME of TANK OWNER: <br /> oe OWNER'S PHONE: 9 f <br /> -0z <br /> M15VW1*13FZUXALAGRmCY(NOT STATE WATER RESOURCES CO OL <br /> .kFrrjtS1<;NLNQ lrWr.LfJCALA(;ENCVIST ISAV.ULABLIE-0,7-. <br /> C I P+ <br /> ,,11%0)lk-Y,TW.i.00AJ,AGENCYOIFANYCHANGESTOTHISINMRmA,t*". wrN 30rmDAYS 01MA <br />
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