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COMPLIANCE INFO_2005-2010
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231125
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COMPLIANCE INFO_2005-2010
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Last modified
3/22/2024 2:54:41 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
2005-2010
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_2005-2010.tif
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EHD - Public
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2560 Soquel Avenue Stef <br />Santa Cruz CA 95062 <br />T: 831.475.8141 <br />F: 831.475.8249 RECEIVED <br />CA Lic# 693807 A-HAZ B-HIC JUL 2 9 -idiO <br />,�NVIRUNMEN I- HEALTH <br />Secondary Containment Testing Report ( <br />ORRMIT/SERVICES <br />1. Facilitv Informntinn <br />Facility Name: Valero 3641 --jDate <br />ofTesting: 07/06/2010 <br />Facility Address: 1210 East Hammer Ln. Stockton, CA 95210 <br />Facility Contact: <br />Phone: 209-477-3111 <br />Date Local Agency Was Notified of Testing: 06/16/2010 <br />Name of Local Agency Inspector (if present during testing): Garrett Backus <br />2_ Tp,.Rtinqy (nntrnrtnr 1nfhrmntinn <br />Manufacturer <br />Component <br />Expiration Date <br />Incon <br />Leak Detector <br />12/15/10 <br />3. Summary of Test Results <br />Component P F � NT I RM Component P �RM <br />Spill Buckets: All FX1 El El El El El El El <br />1:1 El El El El El <br />CERTIFICA <br />To the best of my knowled; <br />Technician's <br />Technician's <br />I of 2 <br />OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING <br />facts stated in this document are accurate and in full compliance with legal requirements <br />Ocker <br />Date: 07/06/2010. <br />El <br />0 <br />El <br />n <br />El <br />0 <br />0 <br />0 <br />0 <br />❑ <br />0 <br />0 <br />0 <br />—0—E] <br />El <br />El <br />CERTIFICA <br />To the best of my knowled; <br />Technician's <br />Technician's <br />I of 2 <br />OF TECHNICIAN RESPONSIBLE FOR CONDUCTING THIS TESTING <br />facts stated in this document are accurate and in full compliance with legal requirements <br />Ocker <br />Date: 07/06/2010. <br />
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