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COMPLIANCE INFO_2018
Environmental Health - Public
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EHD Program Facility Records by Street Name
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9484
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2300 - Underground Storage Tank Program
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PR0232601
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COMPLIANCE INFO_2018
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Entry Properties
Last modified
9/4/2024 11:22:08 AM
Creation date
7/20/2020 2:07:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2018
RECORD_ID
PR0232601
PE
2361
FACILITY_ID
FA0004525
FACILITY_NAME
CHEVRON STATION #372736/2223
STREET_NUMBER
9484
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
09055063
CURRENT_STATUS
01
SITE_LOCATION
9484 WEST LN
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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Site Number ( y Date (p <br /> Dlvsrs \� UDC UndarDle Contslgmertt DC <br /> D Dece>>s'r Drla/Cooks b'JMdtored UDCTypa UDCdaen&dryr Rexconneedors UDC,,FfmExUrWisherFu6f8aNServe <br /> Condition <br /> a' <br /> AD <br /> Any drtps or leaks B=Booted Flex <br /> required Is the disperser UDC entad&N W=Water preserrt <br /> ���Y inside or outside securelySC=Sac anode(s) <br /> G=Good of dispenser? proper F=Fuel prose <br /> 1!Z or 3.4. dispenser P anchored& DP=Deep contltion D=Debris sent NS=Not in sol Are Poe nheUextinguishers dispenser fun <br /> P F=Fair If yea ettplaln In SH=Shallow � NP=No Rax present In the UDCe is the di <br /> etc decals resent properly boated CD=Clean and Dry ��� serve or sett serve? <br /> P=Poor the comments NA=No UDC FS=Flan in soil <br /> Yes or No Yes or No <br /> Yes or No Yes or No NA=No UDC (Clyda all that apply) FW Flex in valor <br /> �t Yes or No UNK'A=�No access <br /> t <br /> 1 2 NO S W F D <br /> �CJ C W F D CO <br /> S` b O-. g D C> W F D (DD All) J G <br /> i S ) W F D <br /> e S W F D <br /> ti Ct S <br /> S W F D <br /> W F D CD <br /> W F D CD <br /> W F D CD <br /> W F D CO <br /> W F D CO W RCJN Ni;__ <br /> Product impact Valves 40,11V VA sor ImpacE Vallee <br /> Vac Mt#nr Dlapanver UDC Sonaors5 <br /> Dlepwiew Wnu6dreer Motu Number �Qubrchrrar Model Number ManufacturerUDC Sansom uDC Ser �Flt�`�)1DC"Candtilt <br /> 4s7 at ,� eoatuoit 6 1k UDA e+� <br /> EBW H=Healy IF no UDC Sensors <br /> EBW Err>co T=Tokheim Manufacturer& If sensor is installed.is a axis!,a conduit <br /> 1R or 3,4, Emco Write Model Number m space Write Model Number in s at the lowest point <br /> etc OPW provided DPW providedP� NAB Balance <br /> Model# available to irsta0? <br /> UN=Universal UN=Universal Vas or No <br /> NA-None NAD=No Stage 11 or NA=No Sensor NA=No Sensor Yes or No <br /> Diesel dispenser NA=Sensor present <br /> NA 3Xa-2D PS AM <br /> J 60 V q /1i4 &D ' ,�20 1414 <br /> fiz lA 3 1(o 20 S <br /> (DPW vS ,�� —7� 5't 0 -2c � S <br /> i� <br /> D wbN QsT t1dz 71 36 -2 a g <br /> :ommerds on any damaged/defective equipment <br /> '&s11ed 12/27/2017 Page 6 of 10 <br />
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