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COMPLIANCE INFO_1988-2004
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0232355
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COMPLIANCE INFO_1988-2004
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Last modified
11/4/2022 10:12:50 AM
Creation date
6/23/2020 6:55:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1988-2004
RECORD_ID
PR0232355
PE
2361
FACILITY_ID
FA0000591
FACILITY_NAME
QUIK STOP MARKET #2152
STREET_NUMBER
1721
Direction
S
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
LODI
Zip
95240
APN
062-060-48
CURRENT_STATUS
01
SITE_LOCATION
1721 S CHEROKEE LN # 1
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0232355_1721 S CHEROKEE_1988-2004.tif
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EHD - Public
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E, <br />P -T Tank Test Data <br />AdditionalF. <br />1. Net Volume Change at Conclusion of Precision Test _s _gp <br />Signature of Tester: — <br />Date: — <br />Statement: <br />Tank and product handling system has been tested tight <br />according to the Precision Test Criteria as established by <br />N.F.P.A. publication 329. This is not intended to indicate <br />permission of a leak. <br />OR <br />❑ Tank and product handling system has failed the tank tightness <br />test according to the Precision Test Criteria as established by <br />N.F.P.A. publication 329. <br />It is the responsibility of the owner and/or operator of this <br />system to immediately advise state and local authorities of any <br />implied hazard and the possibility of any reportable pollution to <br />the environment as a result of the indicated failure of this <br />system. Heath Consultants Incorporated does not assume any <br />responsibility or liability for any loss of product to the <br />environment. <br />Tank Owner/Operator <br />Date .. <br />,a <br />r <br />®®I <br />I0 <br />IBM <br />NMI <br />I <br />MI <br />MMI <br />mom <br />is <br />MMM <br />I <br />MI <br />. <br />IMINNIMIMMs <br />M <br />MIIMM <br />I <br />MIRM <br />1M <br />MIMMIR <br />OM10 <br />"10=1 <br />I <br />MIEM, <br />I <br />;ISI <br />i.I10 <br />. <br />= <br />11CMI <br />MIMMI <br />MIMMEM1I�I <br />P -T Tank Test Data <br />AdditionalF. <br />1. Net Volume Change at Conclusion of Precision Test _s _gp <br />Signature of Tester: — <br />Date: — <br />Statement: <br />Tank and product handling system has been tested tight <br />according to the Precision Test Criteria as established by <br />N.F.P.A. publication 329. This is not intended to indicate <br />permission of a leak. <br />OR <br />❑ Tank and product handling system has failed the tank tightness <br />test according to the Precision Test Criteria as established by <br />N.F.P.A. publication 329. <br />It is the responsibility of the owner and/or operator of this <br />system to immediately advise state and local authorities of any <br />implied hazard and the possibility of any reportable pollution to <br />the environment as a result of the indicated failure of this <br />system. Heath Consultants Incorporated does not assume any <br />responsibility or liability for any loss of product to the <br />environment. <br />Tank Owner/Operator <br />Date .. <br />
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