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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 />r <br />Store Name <br />Address: <br />City: <br />State: <br />Central Monitoring: 1-800-964-2210 <br />9. FUEL SYSTEM fainale Wali & dnuhlta wtali cuafwme\ <br />AMual ATG CsMasfian _ (V y 2013, rDGcX <br />store X36` ( <br />Date:4 <br />Time: <br />ATG Manufacturar: <br />Model #: <br />Line Material <br />Serial M <br />Tank # <br />Product <br />Tank Material <br />Tank Type <br />Tank Capacity <br />Line Material <br />Line Type <br />(How Much?), (80'F) <br />Single -Wailed <br />Fiberglass <br />j) Singie-Wa{ted <br />'✓� <br />Steal <br />[ I Double -Welled[ <br />Sleet <br />[;Q1 Oauble-tMatle�i <br />1 Fiberst2ei <br />[ [ Flex Line <br />)^Fiber -Trench <br />Tank # <br />-.'Product <br />Tank Material <br />Tank Type <br />Tank Capacity <br />Line material <br />Line Type <br />—rjf5teel <br />[ ) Fiberglass <br />[) Single-WaliedFiEreTglass <br />KQoubis-Walled <br />[ 1SteelDouble-Walled <br />[) Single -Walled <br />(j <br />Fibersteei <br />[)Flax Lias <br />Iter -Trench <br />Tank# <br />Product _ <br />. Tank Material <br />Tank Type,... <br />Tarik Capacity . <br />: Line Material . <br />Wne Type , <br />12)[ <br />(� <br />) Fiberglass <br />Steel <br />[) SingiedWejled <br />j DQubl�Wa[lad <br />Fiberglass <br />(j 5 eel <br />[ J Singlo Walled <br />Double Waft <br />Fiberstee} <br />Flex Line <br />[ j Fiber -Trench <br />Tank # <br />Product <br />Tank Material. . <br />Tank T pa: <br />Tank Capac' <br />Line Mat®rlaI <br />Line Ty <br />[ ) Fiberglass <br />(1 Single -Nulled <br />j) Fiberglass <br />[ J Single -Walled <br />[ ) steel <br />[) Double -Walled <br />[) steal <br />[) Double -Welled <br />[ ) Fibersteet <br />f I Flex Line <br />[ Fiber -Trench <br />2. PRnRF CALIFIRATI(IN fainnia wall A ein,ohla wall av ft k <br />Probe.Location (Fill End) Probe ` <br />(Flu End) <br />rt3ck <br />:Tank ' <br />Tank # Product (midda, ado -rd tot. 11, Fuel Stick Fuel . Water <br />"' <br />Water <br />Tlit Temp.. <br />etr,) Level LaVel Level <br />(How Much?), (80'F) <br />Level . <br />LA& ti <br />t <br />(Attach the Print Out) <br />Comments: <br />Page i of 3 <br />
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