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COMPLIANCE INFO_2019
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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PR0231923
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
12/28/2021 3:43:10 PM
Creation date
7/27/2020 2:14:11 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0231923
PE
2361
FACILITY_ID
FA0003606
FACILITY_NAME
ARCO 05450
STREET_NUMBER
1617
Direction
W
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95203
APN
13511015
CURRENT_STATUS
01
SITE_LOCATION
1617 W FREMONT ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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San Joaquin Valley HEALTHY AIR LIVING' <br /> www , healthvi air <br /> y h np . carn <br /> AIR POLLUTION CONTROL DISTRICT Make one change for clean air' <br /> TP-201 . 1B <br /> Static Torque of Rotatable Phase I Adaptors Report Form <br /> Permit Number: N-83 Test Company: Gettler-Ryan Inc. <br /> Site Name: Arco 5450 Technician: Matthew Campbell <br /> Site Address: 1617 W Fremont Certification Number Expiration Date <br /> City: Stockton Zip : 95203 District: SJV-0338 3/31 /2020 <br /> Date/Time of Test: 10/15/2019 <br /> TEST INFORMATION <br /> Measurement units: © pound-inch 0 pound- foot <br /> Vapor Adaptor 1 Vapor Adaptor 2 Vapor Adaptor 3 Vapor Adaptor 4 <br /> Brand: Brand: Brand: Brand : <br /> Model: Model : Model: Model <br /> Product grade: Product grade: Product grade : Product grade: <br /> Torque It Torque 1 : Torque 1 : Torque l : <br /> Torque 2 . Torque 2 : Torque 2 : Torque 2 : <br /> Torque 3 : Torque 3 : Torque 3 : Torque 3 : <br /> Average: Average: Average: Average: <br /> 360° rotation: Yes p No ❑ 360 ° rotation: Yes ❑ No ❑ 1 360° rotation: Yes ❑ No p 360* rotation: Yes ❑ No p <br /> Product Adaptor 1 Product Adaptor 2 Product Adaptor 3 Product Adaptor 4 <br /> Brand: Brand : OPW Brand: OPW Brand : <br /> Model : Madel : 61 SALP Model : SALP Model: <br /> Product grade, Product grade: 87 T2 Product grade: 91 Product grade: <br /> Torque 1 : Torque 1 : 45 Torque 1 : 40 Torque 1 : <br /> Torque 2 : Torque 2 : 45 Torque 2: 40 Torque 2 : <br /> Torque 3 : Torque 3 : 45 Torque 3 : 40 Torque 3 : <br /> Average: Average : 45 Average : 40 Average: <br /> 3600 rotation : Yes ❑ No p 360*' rotation: Yes 0 No ❑ 360* rotation: Yes p No p 360° rotation : Yes ❑ No a <br /> I declare, under penalty of perjury under the laws of the state of California that based on information and belief formed <br /> after reasonable inquiry, the statements and information provided in this document are true, accurate, and complete. <br /> Signature of Technician : / Date: 10/ 15/2019 <br />
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