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COMPLIANCE INFO_1986-2001
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231704
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COMPLIANCE INFO_1986-2001
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Last modified
2/1/2024 8:54:53 AM
Creation date
6/3/2020 9:51:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1986-2001
RECORD_ID
PR0231704
PE
2361
FACILITY_ID
FA0001060
FACILITY_NAME
QUIK STOP MARKET #2076*
STREET_NUMBER
1030
Direction
S
STREET_NAME
OLIVE
STREET_TYPE
ST
City
STOCKTON
Zip
95215
APN
157-264-22
CURRENT_STATUS
01
SITE_LOCATION
1030 S OLIVE ST
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231704_1030 S OLIVE_1986-2001.tif
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EHD - Public
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0 <br /> INSTRUCTIONS FOR COMPLETINGT "C": TANK INSTALLATION CERTIFICATION <br /> GENERAL INSTRUCTIONS <br /> I. Each tank systems must be in compliance with the federal and state technical <br /> standards, contained in lax and regulations, for tank and piping installation. <br /> ,. 'This certification shall te completed by either the IST owner or representative. <br /> , One certification is rear it d for each tank system. This form shalt be used t <br /> make the required cert!;!cation. <br /> A Please type r print clearly all requested information dor printing, please use <br /> hard point writing instrument), <br /> 51 submit the completed certification t the appropriate Local Implementing Agency. <br /> L INSTALLATION: MARS, ALL OF THE ITEMS THAT APPLY TO INDICATE THAT THE <br /> INSTALLATION REQUIREMENTS ARE MIST, <br /> 11, OA'k it,: THE TANK OWNER OR A E T` HALL CERTIFY, BY SIGNINGTHE <br /> CERTIFICATION', ',THAT THE INFORR JfATION PROVIDED FT t TRUE AND <br /> CORRECT, THE PERSON'S NAME SHOULD BE PRINTED UNDER THE <br /> SIGNATURE, <br />
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