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COMPLIANCE INFO_2011-2013
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231125
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COMPLIANCE INFO_2011-2013
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Last modified
3/8/2021 3:02:45 PM
Creation date
6/23/2020 6:43:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2011-2013
RECORD_ID
PR0231125
PE
2361
FACILITY_ID
FA0003730
FACILITY_NAME
TIWANA GAS & FOOD
STREET_NUMBER
1210
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
09403012
CURRENT_STATUS
01
SITE_LOCATION
1210 E HAMMER LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231125_1210 E HAMMER_2011-2013.tif
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EHD - Public
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W.O.# NW1-2308868 <br />AM" ATG C cabal- (any 2012 pocX <br />Store #36,11 <br />ANWAL ATG/LEAK DETECTION CERTIFICATION <br />r <br />y <br />Store Name .+ <br />� BatesAo�i_ <br />"Time: <br />Address: ATG Manufacturer: <br />City: �^ ____ Moder# <br />State: _ Serial #: <br />Centra! Monitoring: 1-800-164-2210 <br />1. FUEL SYSTEM (Single wall & double wall syst(ms) <br />Tank # <br />Product <br />Tank Material <br />Tank Type <br />Tank Capacity <br />Line Material <br />Line Type <br />c 1 <br />Single -walled <br />"?. <br />Flb®rglass <br />(}-Single-Waited <br />l <br />Steal <br />[ ! Double -Walled <br />j Steel <br />A Double -walled <br />j Fibersteel <br />( j Frac Line <br />j Fiber -Trench <br />Tank # <br />-.'Product <br />Tank Materia! <br />Tank Type <br />Tank Capacity <br />Line Material <br />Lin e Type <br />""�' <br />[ ] Fiberglass <br />( eel <br />[ j Single-WelledFit <br />p Qouble Wailed <br />mass <br />j ] Single -Walled <br />[ j Storer <br />Double -Walled <br />] Fibersteel <br />j Flex Line <br />] Iber Trench <br />Tank# <br />Product <br />.Tank Materia!Tank <br />Type,.. <br />Tarik Capacity . <br />: Line lMatefial. <br />Line Ty <br />J <br />] Fiberglass <br />Steel(j <br />( j Single -Walled <br />T)au�a wal1�! <br />Fiberglass <br />[ j eel <br />[ j Single -walled <br />Ouble-Walled <br />l <br />•, <br />Fibersteel <br />( jFlex line <br />(j Fiber -Trench <br />Tank # <br />Product <br />Tank Material. <br />Tank T pw <br />Tarik Ckpac" <br />Line Material <br />Lirie.Typp.. . <br />i ] Fiberglass <br />(j Single -Walled <br />(] Fiberglass <br />[ j Single -Walled <br />( ] Steel <br />[ ] rouble -walled <br />; ] steel <br />[ J Double Walled <br />j1_1 <br />Fibersteel <br />I 1 Flex Line <br />[ l Fiber-Trtm <br />2. PROBE CALIBRATION sin le wail & double wall s stems <br />Tan k# Product <br />Probe.Location Probe (Fill End] Probe <br />(p idle, w4aceni to fl, Fuel Stick Fttei . Water. <br />e1 i Level, Level Level <br />{Fill End] <br />.. Stick Tank Tilt Tiasn <br />Water (How much?). leo^ e <br />Leval <br />trd . <br />p r7 - <br />1--h <br />c 1 <br />t <br />"?. <br />(Attach the Print Out) <br />Comments: <br />Page 1 of 3 <br />
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