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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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1993 CHEMI AL INVENTORY <br /> Page Z of 3 <br /> BUSINESS NAME: l aK 7-bP M 4P C-' /57- PHONE:_toy-3 6Q- �3r�c <br /> CONTACT NAME: Tony cA7rF� <br /> TITLE: FSP-+nXsN�S�- <br /> SITEADDRESS: /?z/- crn C', ,eokEE SMCt,z,al <br /> (LIST ALL CHEMICALS INCLUDING HRZRRDOUS MRSTES) <br /> Chemical Name: EA50t,rsiJF Trade Secret Yes <br /> Trade Name: ttAULE4bCA r�Lu-S &As oAj o E AHM Material _Yes <br /> Waste Classification. y Toxic.�1111®Ignitable —Corrosive _Reactive ®Acutely Hazardous <br /> DOT# ?.03 CAS# Number of Days on She/Year: 36,5' <br /> Daily Amount Stored: /D,ovn Max.,__ *eOoo Avg. Units of Measure: Cu.Ft. <br /> _ <br /> Physical State: _Solid Liquid. Gas -Mixture*l (mustcomplete components of mixture below) <br /> Physical Hazards: ...,,_Fire _Pressure _Reactivity <br /> Health Hazards: .)�_Acute(Immediate) —Chronic(delayed) _Irritant <br /> Incompatible Materials: <br /> Storage Type: _Aboveground Tank Underground Tank _Drum a Cylinder Secondary Containment OES <br /> Other:_._ USE <br /> Storage Pressure l¢� a/aLJ Storage <br /> <br /> How is material used-_.__. 0-- 4,4� + <br /> C® <br /> 1 Mixture: (List the three most hazardous components(by weight): R <br /> '. CAS# %wt S <br /> In <br /> 2. CAS# _ ° <br /> /®wt <br /> 3. . _ __ CAS#- 0/1 wt <br /> Chemical Name: - Trade Secret Yes <br /> Trade Name _..- -- <br /> Waste Classification: ®Toxic Ignitable AHM Material Yes <br /> _Corrosive _Reactive _,Acutely Hazardous <br /> DOT# CAS# Number of Days on SitetYear: <br /> Daily Amount Stored: Max. Avg. Units of Measure: Gal. Lbs. Cu.Ft. <br /> Physical State: -®_S � <br /> olid _Liquid _Gas Mixture®1 (must complete components of mixture below) <br /> Physical Hazards: 'Fre Pressure _„•Reactivity <br /> Health Hazards: -_Acute(Immediate) Chronic(delayed) —Irritant <br /> Incompatible Materials: - <br /> Storage Type: Aboveground Tank®Underground Tank _Drum _Cylinder _Secondary Containment OES <br /> Other. <br /> Storage Pressure: USE <br /> Storage Temperature( F): ONLY <br /> Storage Location: - <br /> How is material used: - - <br /> C <br /> 1 Mixture: (List the three most hazardous components(by weight): R <br /> 1. CAS# °/®wt S <br /> 2. CAS# <br /> °/®wt <br /> 3. -CAS# °/®wt <br /> FOR OES USE ONLY: L_S_T®TAL#f AHM REVIEWED BY INSP p <br /> FOR 1993 CALENDAR YEAR L <br /> 9 <br />
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