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COMPLIANCE INFO_2011-2014
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0232587
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COMPLIANCE INFO_2011-2014
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Last modified
2/9/2024 11:31:21 AM
Creation date
6/3/2020 9:58:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2011-2014
RECORD_ID
PR0232587
PE
2361
FACILITY_ID
FA0004521
FACILITY_NAME
CHEVRON USA #201761*
STREET_NUMBER
1103
Direction
S
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95337
APN
21935038
CURRENT_STATUS
01
SITE_LOCATION
1103 S MAIN ST
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0232587_1103 S MAIN_2011-2014.tif
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EHD - Public
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v —_ — - - — — _ - ----- Itl <br /> 1170-anklin Fuellne.rMystem* ! <br /> �a International Code Council Donald Baughn ertific _ <br /> m® f <br /> Wayne Perry Inc C i,-. aI h#�.12371737o2 I <br /> 500 New Jersey Avenue, NW <br /> ® Washington, DC 20001 <br /> Certification <br /> � t <br /> INTERNATIONAL E' ~^ <br /> Healy Stage II Vapor Recovery <br /> VR 20• + <br /> MS <br /> DDDECOUNCIL° rY- ` .,1-M•&VR-202-M <br /> The individual named hereon is CERTIFIED in the <br /> 1 iian <br /> Training Date:March 16;'2012- <br /> categories shown,having,been so certified pursuant to .� �� - <br /> A Expiration Date:Marc(i 16;20,94 <br /> r successful completion of the prescribed written Expiration n <br /> { examinations. 1 <br /> ' (•_ -_ __^ — _ Code:m 1 Lks0w43S I <br /> Lk <br /> Not valid unTess srgn�by certificate-holder. <br /> ICC Certifdationi'attests fo'competent knowledge-of codes and <br /> t:...:s. <br /> standards. <br /> ;/ Donald al Baughn-5252342x <br /> t <br /> 4 UST tnstalatiorP/Retrofitting-Exp,05/03/2014 <br /> 1 I 1 <br /> 2828 Fallon Drive I <br /> 1 Sherman,Taxas 75090 <br /> f 800-•333•-3599 <br /> Fax:800-•765-4801 <br /> Zdentiflcaton#:X105-•11/1/10 <br /> [ <br /> KEY Fiber lags .... .. <br /> Successfully completed Bondell—Raining as set forth in the <br /> ben Glass Systems'Total Quality Installation Program for the , <br /> t g <br /> 4a <br /> rtallation of UL listed primary and secondary containmen <br /> educts. t V Th2 4p4r an S@eonrlar_q ConlaInrapnf <br /> TWOR <br /> :ewaI of the bonder certification is reco bate ; <br /> dtenthespecificbondin uimenFOR INFO ONCERTI <br /> dedevetythreeyears FlEAnONCLASS,VISIT NMM1.SERAVO.OQMfCLASS <br /> ad of six months. g process has not been practiced for a , <br /> _. WAYNE PERK}!,INC. <br /> CA LiG#.30,345 <br /> DQUA-1.0 BA GH EXP:11201203 <br /> i <br /> 2929vait Ave-0 Gomineroe,CA 906,0 $ 323;888.4'i$3 v www.S,aRQVO.eoin ' <br />
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