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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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N
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99 (STATE ROUTE 99)
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25651
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2300 - Underground Storage Tank Program
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PR0231628
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COMPLIANCE INFO_2022
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Last modified
11/19/2024 1:51:20 PM
Creation date
4/18/2022 7:57:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0231628
PE
2361
FACILITY_ID
FA0003835
FACILITY_NAME
SMK CHEVRON
STREET_NUMBER
25651
Direction
N
STREET_NAME
STATE ROUTE 99
City
ACAMPO
Zip
95220
APN
00514120
CURRENT_STATUS
01
SITE_LOCATION
25651 N HWY 99
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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25651 N HWY 99, Acampo Record ID PR0231628 <br /> 5/4/2022 UST Inspection <br /> Photo 1: The designated operator reports were missing the printed name of the UST Owner/Operator in section 6. <br /> AIL <br /> F <br /> R / OPERATOR ACKNOWLEDGEMENT OF INSPECTION RESULTS <br /> viewed the resultsof the designated UST operator inspection report and provided a <br /> on of the action(s) taken or to be taken to correct any compliance issues discovered. <br /> Name of UST Owner / Operator (print) <br /> - D:44 <br /> ed <br /> UST Owner rator Si <br /> 7. INSPECTION HISTORY <br /> T Has each follow-up action of Section 3 from the previous atel Designated UST Yes, NL�o NA <br /> _ Operator Inspection Report been completed approp y <br /> Attach documentation verifying appropriate service to this report. <br /> 8. RELEASE DETECTION ALARM HISTORY Yes No NA <br /> Attach a copy of the alarm history reportliog to this report. ❑ <br /> Is the monitoring system powered on and in proper operating mode? <br /> revious inspection been responded to appropriately? El Elx <br /> � Has each alarm since the p <br /> ro riate service to this report.) ❑ ❑ � <br /> (Attach documentation verifying app p <br /> the previous <br /> Have all containment sumps, that have had an alarm since d to by a qualified <br /> designated UST operator inspection report, been responded <br /> service technician? operator in Section 3. <br /> " described by <br /> "Nomust be descthe designated UST <br /> All answers marked Page 2 of 4 <br /> A <br /> John Alaniz, REHS Page 1 of 3 <br />
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