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COMPLIANCE INFO_2022
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0526212
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COMPLIANCE INFO_2022
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Last modified
3/30/2022 8:49:14 AM
Creation date
1/27/2022 9:19:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0526212
PE
2351
FACILITY_ID
FA0017737
FACILITY_NAME
CHEVRON STATION #307709*
STREET_NUMBER
10858
STREET_NAME
TRINITY
STREET_TYPE
PKWY
City
STOCKTON
Zip
95219
APN
06602015
CURRENT_STATUS
01
SITE_LOCATION
10858 TRINITY PKWY
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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Wayne Perry Inc.Maintenance Division V3 8/08/2013 <br /> 30 Main Ave.,Suite 5 8281 Commonwealth Ave <br /> Sacramento.CA 95838 Buena Park,CA 90621 , Job Ticket# NCA <br /> 8635 Commerce Ave <br /> San Diego,CA 92121 "` <br /> Call ID: 5070593 <br /> Service Station Maintenance Record <br /> Date: 3/11/22 <br /> Customer Name: Chevron ❑FB ❑AB Job#: <br /> Contact Name: [IFF ❑AF Job#: <br /> Station Address: 10858 Trinity Park <br /> Way Job#NO/WA/OR: 10858 <br /> City/Zip: Stockton,CA Facility#: 307709 <br /> Description of Work Performed: <br /> Arrived onsite to inspect diesel fill and turbine sumps for possible water intrusion.Found sumps tight.Check for high water table.No <br /> leaks visible on any penetrations.Used obsorbment rag and obsorbed water,tested for fuel and it came back negative.Noticed <br /> condensation forming on turbine and sump lid.Wiped of minor amounts of liquid and placed back into service. <br /> Is Job Complete? Yes ® No ❑ If No,Comments <br /> Testing Performed? Yes ❑ No ❑ Hose# 1-24 25-36 Other GPM A/L-V/L Results <br /> Hose# GPM A/L-V/L Results <br /> Hose# GPM A/L-V/L Results <br /> Hose# GPM A/L-V/L Results <br /> Hose# GPM A/L-V/L Results <br /> Personnel Time In Time Out Rate Hours Total <br /> James $ 0.00 <br /> $ 0.00 <br /> $ 0.00 <br /> Part# Part Description Warranty DOA Vendor Qty Unit Price Total <br /> ❑ ❑ $ 0.00 <br /> ❑ ❑ $ 0.00 <br /> ❑ ❑ $ 0.00 <br /> ❑ ❑ $ 0.00 <br /> ❑ I ❑ $ 0.00 <br /> Authorized Signature: <br /> Date: Labor Subtotal $ 0.00 <br /> Travel Subtotal <br /> Dealer Refused to Sign❑ Co-Op❑ Third Party❑ Material Subtotal $ 0.00 <br /> L GRAND TOTAL $0.00 <br /> Attach ALL RECEIPTS and MS-641 FORMS to this Maintenance Record! <br />
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