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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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C <br />74- I LI -n4- d n, t_ r -,a r, F.,7— <br />P -T Tank Test Data Chart <br />Additional Info <br />1. Net Volume Change at of Precision Test gph <br />Signature of Tester: —_ <br />V,qDate: —___� - Z 0 — <br />,2. Statement: <br />Tank and product handling system has been tested 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 leak. <br />OR <br />U Tank and product handling system has failed the tank tightness <br />test according to the Precision Test Criteria as established by <br />N.F.P.A. publication 329. <br />It is the responsibility of the owner and/or operator of this <br />system to immediately advise state and local authorities of any <br />Implied hazard and the possibility of any reportable pollution to <br />the environment as a result of the indicated failure of this <br />system. Heath Consultants Incorporated does not assume any <br />responsibility or liability for any loss of product to the <br />environment. <br />Tank Owner/Operator <br />Date <br />�Mml��MIMM <br />!�' � <br />l�I�®IIS <br />� � • <br />I�� <br />� « ! <br />I .. _ <br />�' <br />• � <br />l�I�f�11� <br />Ilam <br />� <br />I��I� <br />10 =.-=I <br />• � <br />� +►, � ' ..��!i/�I�� <br />� . <br />Imo® <br />� � <br />I � . <br />I� <br />P -T Tank Test Data Chart <br />Additional Info <br />1. Net Volume Change at of Precision Test gph <br />Signature of Tester: —_ <br />V,qDate: —___� - Z 0 — <br />,2. Statement: <br />Tank and product handling system has been tested 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 leak. <br />OR <br />U Tank and product handling system has failed the tank tightness <br />test according to the Precision Test Criteria as established by <br />N.F.P.A. publication 329. <br />It is the responsibility of the owner and/or operator of this <br />system to immediately advise state and local authorities of any <br />Implied hazard and the possibility of any reportable pollution to <br />the environment as a result of the indicated failure of this <br />system. Heath Consultants Incorporated does not assume any <br />responsibility or liability for any loss of product to the <br />environment. <br />Tank Owner/Operator <br />Date <br />
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