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COMPLIANCE INFO_2022
Environmental Health - Public
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EHD Program Facility Records by Street Name
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H
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HARDING
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2300 - Underground Storage Tank Program
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PR0231136
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
9/6/2022 1:47:04 PM
Creation date
1/24/2022 10:33:31 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0231136
PE
2361
FACILITY_ID
FA0003610
FACILITY_NAME
A&A GAS & FOOD MART
STREET_NUMBER
16
Direction
E
STREET_NAME
HARDING
STREET_TYPE
WAY
City
STOCKTON
Zip
95204
APN
13902001
CURRENT_STATUS
01
SITE_LOCATION
16 E HARDING WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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16 East Harding Way PR0231136 <br /> February 15, 2022 Program: UST <br /> PHOTO 3: Initial Trainin Dates & Dates of Assuming Responsibility as a Facility Employee are not consistent. <br /> .J <br /> 2 <br /> ND <br /> 30 <br /> 2 30 <br /> 3 _ 20 <br /> 4 <br /> UNDERGROUND STORAGE TANK <br /> FA <br /> 1UTY EMPLOYEE TRAINING CERTIFICATE(.4 ter 11 <br /> "ASS"F°�r/+rm o. 1. FACIIRY INFORMATION <br /> ._gE>Arim��W aagg 10161235 <br /> HARDING STOCKTON 59 204 <br /> 0°4mIL U.r I1ESKi11ATED UNDERGROUND STORAGE TANK OPERATOR INFORMATION <br /> ^ S Oeeelo-RaaurN er Trreg(Fleet elorran Max ) <br /> �� Pnab e <br /> r; S,;; f Galt CA 95632 209 744-0112 <br /> 6683060-111 2121/2022 <br /> ', N FACILRY EMPLOYEE INFORMATION <br /> `,pryer renlrte tM duties ere.lae�ty MVIoYaa <br /> be Oebber 1A 2018 moat be treirle0 edtldn 20 den a prTewthg <br /> we 4lariey rrpe d thedutleeofthe/erdlYyrnpleyw anrulehef0emWr17,3018mustbevalned <br /> y t—edesrarn.,c .rdew:lr+tado.pp«wedmaw la.m.me ywuwodeat.ae,nfnsx..m.,mmealWn <br /> a✓/eur/on t rhb rcGorr. <br /> Name of NNWWuWa)irl.MIrlhlel Training Data Rrp AMIRY w e <br /> _ FeM4 EnTIe1M <br /> IBRAHAM AYUBO 1/14/2022 1/14!2022 <br /> �. BALINDER KAUL <br /> 1/14/2022 1/14/2022 <br /> I WRAH <br /> ALLI 1/14/2022 1/14/2022 <br /> 7/14/2022 1/14/2022 <br /> ABDUL LAMED 1/14/2022 1/14/2022 <br /> N• CERTIFICATION 8Y DESIGNATED UST OPERATOR CONDUCTING THIS TRAINING <br /> The IRCHNy employee.Haled above have Completed the requlred twining In accordance with California Code of Regulations, <br /> 23,DINe10n 3,Chapter 16,Section 271 Sic)and all the Information provided herein IS accurate. <br /> g Daeignaled UST 0 , <br /> perelor Slgnelure - <br /> �� Datecf Training <br /> CE" cep Ern arrrnyRepahgSy..'ID= maiCWe 1 1114/2022 <br /> t UST=^"'xwd sC ag.Tar, <br /> Rooms <br /> Lydia Baker, SR. REHS Page 3 of 4 <br />
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