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COMPLIANCE INFO_1998-2007
Environmental Health - Public
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EHD Program Facility Records by Street Name
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JACKSON
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2300 - Underground Storage Tank Program
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PR0231488
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COMPLIANCE INFO_1998-2007
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Last modified
8/12/2021 10:51:17 AM
Creation date
6/23/2020 6:49:22 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1998-2007
RECORD_ID
PR0231488
PE
2361
FACILITY_ID
FA0003910
FACILITY_NAME
H&M - BW #98
STREET_NUMBER
2501
STREET_NAME
JACKSON
STREET_TYPE
AVE
City
ESCALON
Zip
95320
CURRENT_STATUS
01
SITE_LOCATION
2501 JACKSON AVE
P_LOCATION
06
P_DISTRICT
005
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231488_2501 JACKSON_1998-2007.tif
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EHD - Public
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01/26/2007 09:18 FAX 0 BOYETT PETROLEUM 1a015/015 <br />i 'mining Verification (i.c. Date and Signatures) <br />11 1)(,scriptioiiofliitrodLictoryaiid(,'�OntillLlitl2, rairli (e.g. ype and <br />A111OUnt) <br />iii. Fraining.Records to he Retained for Three Years (or Longer Based <br />01-1 (,)thee' I....aws) <br />iV, I )OCL[Illelltati Oil Must be Available On -Site for Review bV CLJPA <br />Persofinel <br />7..RECORD KEEPING <br />i, All Paperwork Generated Froin Pump Maintenance, Will be Kept <br />Years <br />ii. ,111 Training Mail Lla IS and Training, Sheets; Along With F 'mploycc <br />Names and Dates Will Be Kept Oil -Site for Tilrec 'Yeal-s <br />8.1"RAINING CERTIFICATION <br />i. The Bottom Portionol'This Form is to ( ...Nertify That, 1-JazardOLIS <br />Materials BLISilleSS Flan 'Training Took, Place Orl: t <br />% <br />,:I <br />(Print) . (Sign) <br />............ ........ <br />..... <br />Ili. Responsible ti-aiiied Irl dividt-jal: <br />....(Sign.) <br />i v. It is NoN! the Responsible of the I' i -q ,i - p " q " d, <br />lqdi a <br />, vidual. to Tr tits All Other <br />['.'J1lI)1o.yeeS at the Site oil the Hazardous Materials BLISilICSS Plan. 'rratfung <br />I <br />Should Be in immediately and Retnain ContintiOLIS. <br />5 <br />
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