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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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2300 - Underground Storage Tank Program
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PR0232482
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
9/11/2023 12:25:39 PM
Creation date
7/26/2023 9:05:41 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0232482
PE
2351
FACILITY_ID
FA0003719
FACILITY_NAME
WEST LANE CHEVRON
STREET_NUMBER
4747
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
10437010
CURRENT_STATUS
01
SITE_LOCATION
4747 WEST LN
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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STRAIGHT BILL OF LADIIG-SHORT FORM-ORIGI NOT NEGOTIABLE DESIGNATE WITH AN(X) <br /> REGMED,sublaet to Ma claalffeadonae Mwfully filed tariffs In W~ - the dols b ales Bill of Lading, BY TRUCK ❑ FREIGHT ❑ <br /> TM INof elty dexdbed bebw,'n sppereW good r,exmpt as road(ooManle an n W do s walawnl,mashed,odayne l art darned a Mlwl, .w,eta said cor(Me word miner and undamini to ewhow Lia corer <br /> a rNennd am person a mryorefon In posse of the Property under the ,e*SI.gmm to any N Nos W daawryw said dimartles,X on Ib rows,othi nada.,doome a another er on to route to aad dnihabn.It is mNually aglal as <br /> aeadrmniwof.r.ranyotsaMproerlyoveral arty bomon W.0 role a dearedon,wee are a Nlly al any line MMM h all or any a ala prNady.fat awry tarda to he Arlo hereunder shell be sublzl to a the Nims avt mgilionsof <br /> the Untwm Domestic SVaphl Bill o Catling set I11 In Unaam Freight Clesalhedon h Mad n fol Mle herald,M MN N s ah or a rail-wear ahlpnanL or IPI In me epplicaae motor mer cbeslf tlon or anX t Mk a moor center eMpment <br /> Shipper hereby cerllM that M N famllW mot 11 Bra larinY at potatoes Oft wale Nil W lads Nf(er b M 1M trammel a aHM which Sonoma Me Merepenstlen W MIe W and tlw mid terms and aviation,aro Maby nosed <br /> W by Me shipper ash sempM far hlmaed wt eWgr.. <br /> From MODERN WELDIN COMPANY OF CALIFORNI , INC. <br /> GATE 411 I�� SHIPPERS NO. 11581 <br /> 4141 N.BR�AWLEY VENUE <br /> At FRESNO,CA 83722 CARRIER'S NO. <br /> rNo PUMP � CARRIER <br /> W�-L K-1) <br /> n. SI►�f sh1" <br /> CONSIGNEE <br /> DESTINATION I I_�•/^}}I�1� �T l/�A/�L}� ROUTE DELIVERING CARRIER <br /> L �v ON ICA � � J INITIALS AENO. <br /> PACKAGES Hid DESCRIPTION <br /> Mp UCEPTII AL EAG -WrII LASS SUWECTT CORR. 0 RATE appy de Nl of Wing,dais shipmltions of <br /> ent Na <br /> I- ^Yb �I be dellwred to freeanslgnea wltrgYl <br /> U remuee on the conslpnor.the Inrey1a <br /> anal sign the armed Wadmenl. <br /> U TN tartlet$her not nuke deMery of <br /> mis ehpnal elhouf Otn em W b IoM <br /> end 0 other levAW charges. <br /> Pa �� Per <br /> fsignwre W cpnagnep <br /> Of c I/ I <br /> If charges ere b be prepaW,orfs a <br /> I/L.r 11�1 �I stomp Mie,"To be to bald" <br /> 1 --1PcNI[ 7�- STl �1Vs�r�itQi <br /> Received$ <br /> th appy I prepayment he the charyae on <br /> the property tlescdbetl hereon. <br /> Apcntor Cashier <br /> Per <br /> PLACARDS SUPPLIED ❑VE$ E NO DRIVE ' GNAUR EMERGENCY RESPONSE PIAOt ENO. Me."to.here ecknowledr.oMy <br /> Me noun pnepet), <br /> aiPeBCMTWICATMTlpbao*tWM nBMl mPltpedy Cnargae Advercam <br /> radelhd deabell,Pleaded meed and labeled mrserhosper m"' fie <br /> rotational amrSng b fw sploft lllQ off IDWahasdT.W.Mb, SI NATURE TITLE f <br /> If the alipnenf mores balm aro Porti by ace by weer,Me are,entities dot Me MI W Ntlblg Me 11 area aaear it Is'.Mae.or shipper's C.O.D.SHIPMENT <br /> wa5hf.t Shipper's anglnle In Ilea W tarp;in psn W BIII W LadhV aipKd by the U8 D PL TraRpdrlallorL <br /> Noe-Where to we b depndeM on wade,MIM es are required to,Baa spoilmIN h wMing Me affee,of or dedared value of Ina proNM C.O.D.Amt <br /> TM eBroad or dedeM vela W da papadyN onstalfsP.Mcelly eblsh by the altgNr M a not 0 Kleading <br /> THIS SHIPMENT IS CORRECTLY DESCRI ED. Vine note bones need V this ahiprnenl s,raonr,bMeeNciliatms Collection FeR <br /> ser Inch In Me no. nhaeh ondho IT Me. aro al alar 9 roper Total Charges <br /> CORRECT WEIGM 15 LBS. uquremena W Me Nasi MWa Frei tCaaNNatiar. dor r9 <br /> l A <br /> MODERN WELDING COM OF CALIFORNIA,INC. Sipper,Per `� Agent, Per <br /> Permanent post-office addrial I of shipper <br /> - --- <br /> —a— has b til accoraance with the lasteel II Installation Instructions". <br /> ( ] YES [ ] NO <br /> Have all local or state requirements been met? [ ]YES [ ] NO <br /> EXCAVATION AND BEDDING <br /> Is the excavation free of any material or object that may Cause damage to the tank exterior? [ ] YES [ ] NO <br /> Has the bottom of the ell cavation been suitably graded and a minimum of 6 in, clean sand, pea gravel or <br /> :rushed atone been insU Red to serve as beddingmaterial? [ ]YES [ ] NO <br /> .a the burial depth of th tank within its listed burW rating? ( ] YES [ ] NO <br /> )o burial depths meet t to minimum installation code requirements? [ ] YES [ ] NO <br />
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