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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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2300 - Underground Storage Tank Program
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PR0521942
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
8/18/2022 9:49:50 AM
Creation date
5/24/2021 10:32:11 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0521942
PE
2371
FACILITY_ID
FA0014921
FACILITY_NAME
RANCHO SAN MIGUEL MARKET*
STREET_NUMBER
1427
Direction
S
STREET_NAME
AIRPORT
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
16902016
CURRENT_STATUS
01
SITE_LOCATION
1427 S AIRPORT WAY
P_LOCATION
02
P_DISTRICT
001
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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Work Order <br />A Job: 404403 <br />ae�E <br />Service Station Systems, Inc. <br />680 Quinn Ave <br />San Jose CA 95112 <br />(408)971-2445 <br />dispatch@servicestationsystems.com <br />Contractor License: 485184 <br />Customer: <br />Food 4 Less <br />17935 Murphy Pkwy <br />Lathrop, CA 95330 <br />Work Performed <br />Site: <br />Rancho San Miguel Market <br />1427 S Airport Way <br />Stockton, CA 95206 <br />Category: <br />PM -Testing <br />Unit#: ALL <br />Component: <br />Overfill Prevention Insp <br />Item : <br />Failure: <br />Compliance <br />Serial#: <br />Repair: <br />Passed Test <br />Task#: 1 <br />PO#: Quote 100657 <br />Ref#: <br />Enter Date/Time of Service (Military Time): 05-25-2021 08:30 <br />The following data was recorded by (Tech <br />Kris Bell <br />First/Last Name): <br />Update Site Maintenance and ISD Logs, TAKE COMPLETE <br />Name of person site keys returned to or Did <br />did not use <br />PICTURES and attach to job: <br />Not Use: <br />The status of this task is: CLOSED - COMPLETE <br />Brief Summary of Repairs or Additional <br />removed and <br />Details: <br />completed overfill <br />inspection, all passed. <br />Category: PM -Testing <br />Unit#: ALL <br />Component: Drop Tube Test <br />Item : <br />Failure: Compliance <br />Serial#: <br />Repair: Passed Verification <br />Task#: 2 <br />Enter Date/Time of Service (Military Time): 05-25-2021 14:00 <br />The following data was recorded by (Tech <br />Kris Bell <br />First/Last Name): <br />Update Site Maintenance and ISD Logs, TAKE COMPLETE <br />Name of person site keys returned to or Did <br />did not use <br />PICTURES and attach to job: <br />Not Use: <br />The status of this task is: CLOSED - COMPLETE <br />Brief Summary of Repairs or Additional <br />ran drop tube test <br />Details: <br />once drop tube were <br />re -installed into tanks <br />all passed. <br />Category: Tanks -Lines <br />Unit#: NA <br />Component: Fill Bucket <br />Item : <br />Failure: Damaged -Worn <br />Serial#: <br />Repair: Replaced Same Model <br />Task#: 5 <br />Enter Date/Time of Service (Military Time): 05-25-2021 13:00 <br />Reviewed Site Maintenance Log AND Alert COMPLETE <br />Service History for recent service: <br />Confirmed Sensor(s) in lowest position: CONFIRMED <br />Attached picture of waste drum label with an ON SITE SUPPLIED <br />accumulation date clearly written: DRUM <br />Update Site Maintenance Log, TAKE COMPLETE <br />PICTURE and attach picture to job: <br />The following data was recorded by (Tech Kris Bell <br />First/Last Name): <br />Issue reported is for grade: REGULAR <br />Waste Disposal left on site: LIQUID <br />While addressing this task I created and did not create alarms <br />cleared the following new Monitoring System while onsite <br />alarm(s): <br />Name of person site keys returned to OR Did did not use <br />Not Use: <br />Report Date: 5/25/2021 3:50:29 PM PST Page 1 of 3 <br />
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