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COMPLIANCE INFO_1986-2001
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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PR0231995
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COMPLIANCE INFO_1986-2001
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Last modified
1/18/2023 9:51:48 AM
Creation date
6/3/2020 9:56:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1986-2001
RECORD_ID
PR0231995
PE
2361
FACILITY_ID
FA0006438
FACILITY_NAME
United # 5446
STREET_NUMBER
1403
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12323246
CURRENT_STATUS
01
SITE_LOCATION
1403 W COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231995_1403 W COUNTRY CLUB_1986-2001.tif
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EHD - Public
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r0AT'E <br />fV�/\i/I ..... �..� di. <br />LOG OF TEST PRMOUAESTyVOLUI E MEASUREMENTS (Vi TEMPERATURE NSATION CNANGNNi ACCUMULATED <br />r6Q�E U (Supplemental) T� REOORD TO 001 DAL. USE FACTOR (a) EACH READUaI CNANOf <br />Recorddetails of setting up 29. Su LoW 32. Product a Temtp nature <br />33. prodttCt 35. �. 3J. attd �rtttm00 lest Luse full Maditq io wam emdmo I-) CAdiusteq <br />ength-irul ne if needed:)_ Thermal ow CId, (a) onmisses Laef b IW • la) • veWRe IdsA, Lax lwelof blas Atli product S~ Lowe - Expansmt • Expateion I•i aof por Hour <br />Readhq Recovered I.1 Iw contractodt - Contraction I -i (SPA criteria) <br />MV) — e3TIT) <br />'"— <br />W 2 -4V \\ L-® a <br />Mr. Z . 340 o r036 �fZ2 -t-z- { 641: oil <br />00 .3 . L Logo qZ til tO87-1 f ®a <br />5 113,3112- 04,66 'f . cqo Y-38 4 t ® ♦. ®Z <br />SFS <br />5� N —__+�o' 8 z+ to <br />z-4:3.4yjG W y12r OV,+7x <br />3 5 y� 5 �; too 15Z -! +,a Z *;®l <br />ao3 <br />1 I Imo: <br />I MIMMMIIr I rr <br />r: t►.►�•L. %J (exit I 10 M(MM 1�1.� <br />• (, <br />P -T Tank Test Data Chart <br />AddItIonal Info <br />1. Na Volume Change a ion of Preci n .Test gptt , <br />Signature of Tester:' <br />bete: < <br />aemtiont: <br />Tank and product hwaing syaem has been tasted tight <br />according to the Precision Test Criteria as established by <br />N.F.P.A. publication 329. This Is not Intended to indicate <br />permission of a krait. <br />OR <br />❑ Tank and product "oyaann has failed the tart tightness; <br />tea according to the Precision Test Criteria as established by <br />N.F.P.A. publication 329. <br />It Is the responsibility of the owner andAx operator of this <br />system b Immediately advise state and local authorities of any <br />Implied hated and the possibility of any reportable pollution to <br />the awironnWd as a result of the skated failure of this <br />syatamn. Heath Consultants Incorporated does not Resume any <br />responsibility or liability for any lose of product to the - <br />environment. <br />Tank Owner/Operator <br />Date <br />
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