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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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W
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WEST
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4040
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2300 - Underground Storage Tank Program
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PR0231963
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
10/6/2021 10:24:51 AM
Creation date
4/28/2021 8:37:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231963
PE
2361
FACILITY_ID
FA0006445
FACILITY_NAME
PG&E: Stockton Service Center
STREET_NUMBER
4040
STREET_NAME
WEST
STREET_TYPE
Ln
City
Stockton
Zip
95204
APN
117-020-01
CURRENT_STATUS
01
SITE_LOCATION
4040 West Ln
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\kblackwell
Tags
EHD - Public
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4040 West Lane, Stockton, CA PR0231963 <br /> 09/24/2021 Program: UST <br /> PHOTO 1: <br /> UST desi nated operator employee training performed but not recorded on the correct form <br /> Date of <br /> acility Environmental training Cou <br /> Training Dura Instructor Name <br /> s r R.ALEX STEELE Instructor Instruct or Address <br /> 1 I✓ -Z1 Instructor signature R2s 1108 MURPHYS GRADE RD <br /> Training Location t / 209-337-8902 <br /> Roster Location w <br /> (Address,Ci De <br /> tYpartment) <br /> • t� ' �7c� zp� <br /> •- Lome <br /> ❑ ENVR-0100-Hazardous Material and Waste General Awareness • • • • no • ' - <br /> ENVR-0118-UST Designated Operator Led-UST Employee Training ❑ENVR <br /> ENVR-0202-PCB and Spill Management ❑ENVR-0117-Cultural Resources <br /> ❑ ENVR-0204-Vehicle Idling Rules ❑ENVR-0200-Vault Dewatering <br /> ❑ ENVR-02 -Habitat Conservation Plan ❑ENVR <br /> 20 <br /> ❑ r <br /> ❑ ENVR-0301-Facility Emergency Response Coordination ENVR- <br /> ❑SAFE-0892-8hr.Hazwoper Refresher r ri <br /> Employee's Name LAN ID Personnel# Job Title Signature Supervisors Name Assigned Work Location i. <br /> 2 �. C, LAU,�63D,'-'�7 <br /> 4 <br /> � <br /> Lr <br /> 6 �e�� Mal ' a o�M �� 1-11 <br /> cJ23 <br /> Lre7-� � <br /> loe— <br /> �� i ��✓� <br /> °=C '� <br /> C Rauica � InRlnd <br /> 1 or6 <br /> Training Roster.xlsx <br /> Environ- <br /> VICKY VANG-LEE, EHS Page 1 of 1 <br />
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