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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
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FilePath
\MIGRATIONS\UST\UST_2361_PR0231766_4344 E WATERLOO_1997-2006.tif
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EHD - Public
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0 0 <br /> INSTRUCTIONS FOR PLET"I F "C": TANK INSTALLATION CERTI I T"I <br /> GENERAL INSTRUCTIONS <br /> f. Each teak system must be in compliance with the federal and state technical <br /> standards, nt in d in law and regulations, for tank and piping installation. <br /> This certHication shall te completedby either the UST owner or representative. <br /> a One certification is reqs:ired for each tank system. This form shall be used to <br /> make the required certilication. <br /> 4� Please type or print clearly all requested infora tion (for printing, please use <br /> L-i rd point writing instrument), <br /> Submit the completed certification to the appropriate Local Implementing Agency. <br /> Im IN T L%.I-IM„ T I N: MARK ALL OF THE ITEMS THAT APPLYTO I THAT THE <br /> INSTALLATION RE UIPE E TE MET. <br /> IL OATH. THE 'rANK OWNER OR AGENT SHALL CERTIFY, BY SIGNING THE <br /> CERTIFICATION, THAT THE INFORMATION PROVIDED IS TRUE AND <br /> RF E T, THE PERSON'S NAME SHOULD BE PRINTED UNDER THE <br /> INA-5I.1IIE,. <br />
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