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COMPLIANCE INFO_2023
Environmental Health - Public
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EHD Program Facility Records by Street Name
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WILSON
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2300 - Underground Storage Tank Program
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PR0231300
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COMPLIANCE INFO_2023
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Last modified
7/27/2023 9:04:09 AM
Creation date
6/20/2023 8:47:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0231300
PE
2361
FACILITY_ID
FA0001858
FACILITY_NAME
MY MINI MART
STREET_NUMBER
1756
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
11721005
CURRENT_STATUS
01
SITE_LOCATION
1756 N WILSON WAY
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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Underground Stora F . <br /> Designated UST O Aerator Vige Tank <br /> sual Inspection Report <br /> 10• TESTING AND MAINTENANCE — <br /> Yes No NA Date last <br /> Has monitoring system certification been completed wi ' Performed <br /> 12 months? p thrn the past <br /> Has spill co ;� 6122122 <br /> ntainer testing been completed within the past <br /> 12 months? R✓ ❑ 0 6122122 <br /> Has overfill prevention equipment inspection been completed within <br /> the past 36 months? 6116121 <br /> Has secondary containment testing been completed within the past ❑ <br /> 36 months? 418121 <br /> Has tank tightness testing been completed within required ❑ ❑ <br /> timeframes? <br /> Has line tightness testing been completed within the required ❑ ❑ 0 <br /> timeframes? <br /> Other Test/ Maintenance: ❑ ❑ 0 <br /> Other Test / Maintenance: ❑ ❑ 0 <br /> Other Test/ Maintenance: <br /> 11. FACILITY EMPLOYEE TRAINING Yes No i <br /> Have all individuals performing facility employee duties received the required facility ❑ <br /> employee training within the past 12 months? <br /> 13, COMMENTS <br /> This section maybe used to record comments or observations that are not current compliance <br /> deficiencies. <br /> rs marked "NO"mus be described by the designated UST operator in Section 3. <br /> All ansWe Page 4 of 4 <br /> Y <br /> 2 <br />
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