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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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1: <br />r <br />P -T Tank Test Data Chart <br />Additional Info <br />1. Net Volume Change at nci sion of Precision Test ph <br />Signature of Tester: °'— <br />Date: <br />z 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 321 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 responswuny OT [ne vw"F Nuiv' vyo•a.v. ..• ••••• <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 />Mimml <br />1�® <br />.• I <br />0• <br />I • •' <br />®I <br />®mIU <br />• • I <br />Mi <br />=I <br />SMI <br />- <br />IIE <br />I �► <br />®IMMI� <br />in== <br />I <br />I �i.. • <br />M <br />�I��I <br />��I <br />R � � <br />, • <br />lei <br />P -T Tank Test Data Chart <br />Additional Info <br />1. Net Volume Change at nci sion of Precision Test ph <br />Signature of Tester: °'— <br />Date: <br />z 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 321 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 responswuny OT [ne vw"F Nuiv' vyo•a.v. ..• ••••• <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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