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COMPLIANCE INFO_1988-2004
Environmental Health - Public
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EHD Program Facility Records by Street Name
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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
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\MIGRATIONS\UST\UST_2361_PR0232355_1721 S CHEROKEE_1988-2004.tif
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EHD - Public
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f J0 <br /> 1993 CHEMICAL INVENTORY <br /> ,,//�� Page 3 of 3 <br /> BUSINESS NAME: C. tL1 R 0/52- PHONE: 7-09-369-7375 <br /> CONTACT NAME: ZONAL TITLE: FRa*jCrfiSEE <br /> SITEADDRESS: /Z7-/- / So. C/fE2okEE 570GVc7o1U <br /> (LIST RLL CHEMICRLS INCLUDING HRZRRDOUS UASTES) <br /> Chemical Name: Trade Secret _Yes <br /> Trade Name: AHM Material —Yes <br /> Waste Classification: Toxic _Ignitable _,Corrosive Reactive _Acutely Hazardous <br /> DOT# 0/3 CAS#_ /24-3k-9 Number of Days on Site/Year: 36S <br /> Daily Amount Stored: 20o Max. /16 Avg. Units of Measure: Gal. Lbs. _Cu.Ft. <br /> Physical State: —Solid _Liquid ZC,GaS _Mixture <br /> °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 -9 Cylinder ®Secondary Containment OES <br /> Other: USE <br /> Storage Pressure: ao Vz A?-MasP�e2 S Storage Temperature( F): /.7 fE ONLY <br /> Storage Location: <br /> How is material used: USED /-o4 SoA,+ A0a,0779LAJ C <br /> 1 Mixture: , (List the three most hazardous components(by weight): g <br /> 1• CAS# %wt <br /> 2• CAS# <br /> 3 CAS# <br /> _/.Wt <br /> Chemical Name: Trade Secret Yes <br /> Trade Name: AHM Material Yes <br /> Waste Classification: Toxic _Ignitable Corrosive _Reactive Acutely Hazardous <br /> DOT# CAS# Number of Days on Site/Year: <br /> Daily Amount Stored: Max. Avg. Units of Measure: _Gal. _Lbs. _CuXt. <br /> Physical State: Solid ®Liquid _Gas _Mixture®1 (must complete 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 _Cylinder Secondary Containment DES <br /> Other: <br /> Storage Pressure: USE <br /> g Storage Temperature( F): <br /> Storage Location: ONLY <br /> How is material used: C <br /> 1 Mixture: (List the three most hazardous components(by weight): R <br /> 1• CAS# ° S <br /> 2• /o wt® <br /> 3. CAS# %wt <br /> CAS# ri <br /> %wt <br /> FOR OES USE ONLY; L� S�TOTALAt AHM REVIEWED BYINSP______`- : <br /> FOR 1993 CALENDAR YEAR ONLY <br /> 9 <br />
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