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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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It <br /> UNDERGROUNDSTORAGETANK <br /> SECONDARY CONTAINMENT TESTING REPORT FORM (Page 2 of 6), <br /> V. TANK CONTAINMENT TESTING INFORMATION <br /> Manufacturer Identify Tank ID from section III for each Manufacturer <br /> Unknown AN I B ® I C E D ❑ <br /> A❑ J B ❑ I C ❑ I D ❑ <br /> Test Method Used: <br /> ❑Manufacturer Guidelines: (Specify) <br /> ®Industry Code or Engineering Standard:(Specify) PEI RP1200 <br /> ❑Engineered Method:(Specify) <br /> #of Attached Pages <br /> Attach the testing procedures and all documentation required to determine the results. <br /> Tank Containment Testing Training and Certifications(List applicable certifications.) Expiration Date <br /> VI. COMMENTS <br /> Provide any additional comments here. <br /> VII. PRODUCT PIPING CONTAINMENT TESTING INFORMATION <br /> Manufacturer Identify Tank ID from section III for each Manufacturer <br /> Smith A® B ® C ® D ❑ <br /> A❑ B ❑ C ❑ D ❑ <br /> Test Method Used: <br /> ❑Manufacturer Guidelines:(Specify) <br /> ®Industry Code or Engineering Standard:(Specify) PEI RP1200 <br /> ❑Engineered Method:(Specify) <br /> #of Attached Pages <br /> Attach the testing procedures and all documentation required to determine the results. <br /> Product Piping Containment Testing Training and Certifications(List applicable certifications.) Expiration Date <br /> Smith <br /> Interstitial Communication Verification Method Used: <br /> Vlll. COMMENTS <br /> Provide any additional comments here. <br /> ID=Identification <br />
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