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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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99 (STATE ROUTE 99)
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4855
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2300 - Underground Storage Tank Program
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PR0506650
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COMPLIANCE INFO_2021
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Last modified
11/19/2024 1:51:17 PM
Creation date
2/1/2021 9:20:06 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0506650
PE
2361
FACILITY_ID
FA0007571
FACILITY_NAME
ARCH ARCO AM PM*
STREET_NUMBER
4855
Direction
S
STREET_NAME
STATE ROUTE 99
City
STOCKTON
Zip
95215
APN
17926051
CURRENT_STATUS
01
SITE_LOCATION
4855 S HWY 99
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\kblackwell
Tags
EHD - Public
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ID =Identificati <br />UNDERGROUND STORAGE TANK <br />SECONDARY CONTAINMENT TESTING REPORT FORM (Page s of 6) <br />IX. REMOTE FILL PIPING CONTAINMENT TESTING INFORMATION <br />Manufacturer <br />Identify Tank ID from Section III for each Manufacturer <br />A❑ <br />B❑ <br />C❑ <br />D❑ <br />A❑ <br />BE <br />C❑ I <br />D❑ <br />Test Method Used: <br />❑ Manufacturer Guidelines (Specify): <br />❑ Industry Code or Engineering Standard (Specify): <br />❑ Engineered Method (Specify): <br />Attach the testing procedures and all documentation required to determine the results. <br /># of Attached Pages <br />Remote Fill Piping Containment Testing Training and Certifications (List applicable certifications) <br />Expiration Date <br />Interstitial Communication Verification Method Used: <br />NA -Section III -No Remote Fill Piping or Remoter Fill Piping Containment at this UST Facility, <br />X. COMMENTS <br />Provide any additional comments here. <br />NA -Section III -No Remote Fill Piping or Remote Fill Piping Containment at this UST Facility. <br />XI. VENT PIPING CONTAINMENT TESTING INFORMATION <br />Manufacturer <br />Identify Tank ID from Section <br />III <br />for each Manufacturer <br />A❑ <br />B❑ <br />I C❑ <br />D❑ <br />A❑ <br />B❑I <br />C❑ <br />I D❑ <br />Test Method Used: <br />❑ Manufacturer Guidelines (Specify): <br />❑ Industry Code or Engineering Standard (Specify): <br />❑ Engineered Method (Specify): <br />Attach the testing procedures and all documentation required to determine the results. <br /># of Attached Pages <br />Vent Piping Containment Testing Training and Certifications (List applicable certifications.) <br />Expiration Date <br />Interstitial Communication Verification Method Used: <br />NA -Section III -No Vent Piping Containment at this UST Facility. <br />XII. COMMENTS <br />Provide any additional comments here. <br />NA -Section III -No Vent Piping Containment at this UST Facility. <br />on <br />
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