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COMPLIANCE INFO_1997-2006
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231766
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COMPLIANCE INFO_1997-2006
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Last modified
12/20/2023 3:52:47 PM
Creation date
6/3/2020 9:53:03 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1997-2006
RECORD_ID
PR0231766
PE
2361
FACILITY_ID
FA0003717
FACILITY_NAME
CHEVRON STATION #99840*
STREET_NUMBER
4344
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
Rd
City
Stockton
Zip
95215
APN
10102156
CURRENT_STATUS
01
SITE_LOCATION
4344 E Waterloo Rd
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231766_4344 E WATERLOO_1997-2006.tif
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EHD - Public
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INSTRUCTIONS PL "I FOR "C": TANK INSTALLATION CERTI I A" I <br /> GENERAL INSTRUC-TIONS <br /> 1. Each teak system rust be in compliancewith the federal state technical <br /> standards, containâ–ş in law and regulations, for teak and piping installation. <br /> 2. This certification shall te completed by either the UST owner or representative® <br /> 3. One certification is r gisir d for each tank y t . This form shall be used t <br /> make the required rti i ati n. <br /> m please type or print clearly all requested information (for printing, please use <br /> hard point writing instrument). <br /> , ufLi iit tea completed certification to the appropriate Local Implementing Agency. <br /> L INNS"FALL TI T; FVIARK ALL OF THE ITEMS THAT APPLY TO INDICATE THAT THE <br /> INSTALLATION UI ARE MET, <br /> lira ATH: THE TANK OWNER OR AGENT SHALL.. CERTIFY, BY SIGNINGTHE <br /> CERTIFICATION, THAT THE INFORMATION PROVIDED I TRUE AND <br /> CORM `C"T,, THE PERSON'S' ASHOULD PRINTED UNDER THE <br /> I NA,,rLJRE, <br />
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