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COMPLIANCE INFO_1987-2000
Environmental Health - Public
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EHD Program Facility Records by Street Name
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C
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CLAY
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655
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2300 - Underground Storage Tank Program
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PR0231065
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COMPLIANCE INFO_1987-2000
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Last modified
11/9/2022 12:59:37 PM
Creation date
6/23/2020 6:40:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1987-2000
RECORD_ID
PR0231065
PE
2361
FACILITY_ID
FA0003699
FACILITY_NAME
DSS COMPANY
STREET_NUMBER
655
Direction
W
STREET_NAME
CLAY
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
14707110
CURRENT_STATUS
01
SITE_LOCATION
655 W CLAY ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231065_655 W CLAY_1987-2000.tif
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EHD - Public
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INSTRUCTIONS FOR COMOTING FORM "C": TANK INSTALLATICOCERTIFICATION <br /> GENERAL INSTRUCTIONS <br /> tx Each talc system must be in compliancewith the federal and state technical <br /> standards, contained in law and regulations, for teak and piping installation. <br /> This rtifi tion shall be completed by either the UST owner or representative. <br /> One rti i tion is required for each tang system. This form shall be used to <br /> make the required certification. <br /> . please type or print clearly all requested Ifinf r ".tion (for printing, please use a <br /> hard point writing instrument). <br /> Submit the completed certification to the appropriate Local Implementing nti Agency. <br /> 1. INSTALLATION: MARK ALL OF THE ITEMS THAT APPLY TO INDICATE THATTHE <br /> INSTALLATION REQUIREMENTS ARE <br /> IL OATH: THE TANK OWNERAGENT SHALL CERTIFY, BY SIGNING THE <br /> CERTIFICATION, HA ° THE INFORMATION PROVIDED IS TRUE AND <br /> CORRECT, THE PERSON9S NAME SHOULD BE PRINTEDUNDER THE <br /> SIGNATURE, <br />
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