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COMPLIANCE INFO_2021
Environmental Health - Public
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EHD Program Facility Records by Street Name
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ELEVENTH
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1987
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2300 - Underground Storage Tank Program
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PR0517565
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COMPLIANCE INFO_2021
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Last modified
11/19/2024 10:19:34 AM
Creation date
1/8/2021 4:14:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0517565
PE
2361
FACILITY_ID
FA0013503
FACILITY_NAME
SAFEWAY FUEL CENTER #2600
STREET_NUMBER
1987
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
1987 W ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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r SANJOAQUI Environmental Health Department <br /> C U N T Time In:Time Out: <br /> Greatness grows here, <br /> Underground Storage Tank Program Service Request Inspection Report <br /> Name of Facility: SAFEWAY FUEL CENTER#2600 Date: 05/06/2021 <br /> Address: 1987 W ELEVENTH ST , TRACY 95376 <br /> Requestor: DAN RAUSCHER, GRANITE PETROLEMMN INC Telephone: (509)482-7016 <br /> Program Element: 2308-UST RETROFIT Request#: SR0082924 <br /> Inspection Type: 298-UST RETROFIT REPAIR INSPECTION <br /> Onsite Service Technician: Ernie Ybarra ICC Service Tech/Installer Exp. Date: 09/21/2021 <br /> Manufacturer training: Bravo, 10/21/23 <br /> OVERALL INSPECTION NOTES AND COMMENTS <br /> NOTES <br /> On site to witness: <br /> -Conclusion of STP sump and UDC integrity test.Water in sumps and UDCs are still at the markings from yesterday. <br /> Additional inspections are required. Please see the approval letter item#3 for additional inspections. Provide a 48-hour written <br /> notification to ust@sjgov.org to arrange appointments. In the notification, please indicate what inspections from the approval <br /> letter are being conducted that day. <br /> To minimize person to person contact EHD is choosing to write the name of the person receiving the report instead of having <br /> them sign. <br /> The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of the California Health and <br /> Safety Code.If a reinspection is required,fees will be assessed at the current hourly rate. <br /> Received by: Name and Title: Ernie Ybarra, Supervisor <br /> EH Specialist: CAROL PRESTO Phone: (209)616-3061 <br /> FA0013503 SR0082924 SC298 05/06/2021 <br /> EHD 23-01 Rev.09/16/2020 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />
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