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COMPLIANCE INFO_2007-2018
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231659
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COMPLIANCE INFO_2007-2018
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Last modified
12/12/2023 1:47:03 PM
Creation date
6/23/2020 6:50:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2007-2018
RECORD_ID
PR0231659
PE
2361
FACILITY_ID
FA0003849
FACILITY_NAME
Verizon Business: MANTECA
STREET_NUMBER
2551
Direction
E
STREET_NAME
LOUISE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
19801005
CURRENT_STATUS
01
SITE_LOCATION
2551 E LOUISE AVE
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231659_2551 E LOUISE_2007-2018.tif
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EHD - Public
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a &RRILdix IX a 180316-013 <br />TYPE OF ACTION o INSTALLATIQN INSPECTION o REPAIR INSPECTION 0 36 MONTH INSPECTION <br />Emma <br />CERS ID <br />OF INSPECTION <br />10181481 <br />0D1`ITE <br />7-10-2018 <br />B-U,S.],,N-E.,S-S,-N,,AmetsoiAgA...5 5WILL N&JWE grDBA.-Doing Busin <br />- - --- . . ... .... . .. <br />Verizon Business Purchasing, LLC <br />BUSINESS SITE ADDRES E <br />2551 E. Louise Ave. <br />NAME OF LIST SERVICE TECHNICIAN PERFORMING INSPECTION (As shown on the /CC certification.) PHONE <br />Brandon Bowers 888-588-8737 <br />CONTRACTORITANK TESTER LICEN,512 <br />W 11010, <br />1703190 <br />— - ------------ ----- - -- - <br />INSPECTION METHOD USED: 0 MANUFACTURER GUt I�pjES (SpecjV) EBW Auto Limiter 11 Valve Component Insp <br />ri INDUSTRY CODE OR ENGINEERING STANDARD I�tf <br />0 ENGINEERED METHOD (SDeciN) <br />11 <br />ITANNKKII NNSMEDIA�� <br />OVERFILL PREVENTION EQUIPMENT <br />MANUFACTURER(S) <br />A�TIC �SHULQFF <br />AJUI <br />V <br />Q ERFILL PREVENTION EQUIPMENT <br />III II�IIDIIII <br />RESPQNgEAhENAGjM6M <br />ri RESTRICTED FLOW REaR!QjEQ _FLOW <br />(Check a# that aDdv.) <br />0 VISUAIJAUDIBLE ALARM (,,j VISUAIJAUDIBLE A�ARM <br />Zia <br />LEVEL AT WHICH THE OVERFILL PREVgNTION <br />EQUIPMENT ACTIVATES <br />(inches fiorn b-oFom— of Lank. 1 <br />0 YES <br />"T <br />0 NO <br />MY TITT, M, <br />............ <br />Any items marked "Fail" must be explained in this section. Provide anv ;fibonal comments here. <br />9 14 ?nip <br />RiTTH-ELF-PA <br />JAM <br />LhjM§LSg[fify that the -overfill prevention aguipment was inspected in accordance vdth California Code of Regulation& <br />title 23. division 3. chaoter 16. section 2637.2 and all the information contained in this rppoll is true and accurate. <br />LIST SERVICE TECHNICIAN SlaN6IVRE DVWIY by Brandon <br />Brandon Bowers Bowerms <br />Date: 2018.07.10 10:57:30 -07W <br />
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