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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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2300 - Underground Storage Tank Program
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PR0527041
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
12/22/2022 8:55:57 AM
Creation date
5/11/2022 10:41:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0527041
PE
2351
FACILITY_ID
FA0018327
FACILITY_NAME
MANTECA GAS & FOOD*
STREET_NUMBER
1229
Direction
E
STREET_NAME
LOUISE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
20809015
CURRENT_STATUS
01
SITE_LOCATION
1229 E LOUISE AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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Address Chevron, 1229 E. Louise, Manteca CA 95336 Record ID PR0527041 <br /> Date 8/16/2022 Program: UST <br /> PHOTO 6: <br /> S4 (91 roduct) alarm on 1/4/2022 not addressed in the DO report. <br /> Designated U'. n Report <br /> 1. FACILITY INFORMATION <br /> CERS ID 10186837 Inspection Date <br /> 1/26/2 <br /> Facility Name Manteca Gas and Food-Chevron <br /> Facility=Addre City ZIP Code <br /> 1229 Ee 1229 E.Luise Ave 95336 <br /> 2. DESIGNATED UST OPERATOR INFORMATION <br /> Name of Designated UST Operator Phone <br /> Alex Jabbari 925-389-1262 <br /> ICC Certification Certification Expiration Date <br /> 5243897-UC 9/2/22 <br /> 3. COMPLIANCE ISSUES <br /> L16:91 Fill sump alarm on 1/1/22 was due to rain fluid has been removed <br /> I <br /> C <br /> 4. CERTIFICATION BY DESIGNATED UST OPERATOR CONDUCTING INSPECTION <br /> I hereby certify that the visual inspection was performed in compliance with California Code <br /> of Regulations,title 23,division 3,chapter 16,section 2716 and all information provided <br /> herein is accurate. <br /> 1 <br /> [6�signated UST Operator Signa a Date Inspection Report Provided to Owner <br /> '14 <br /> �, f- 2I. —zz <br /> CERS=California Enviro ental Reporting System,ICC=International Code Council,ID= <br /> Identification, NA=Not Applicable,UDC=Under-Dispenser Containment,UST=Underground <br /> Storage Tank <br /> vi w.unidms.org Rev.10101-Page 1 of 4 <br /> UN-111 <br /> 'A <br /> Gabriela Garcia-Mejia, EHS Page 6 of 6 <br />
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