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COMPLIANCE INFO_2024
Environmental Health - Public
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EHD Program Facility Records by Street Name
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COUNTRY CLUB
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2300 - Underground Storage Tank Program
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PR0516736
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COMPLIANCE INFO_2024
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Entry Properties
Last modified
12/17/2025 3:21:05 PM
Creation date
1/24/2024 4:27:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR0516736
PE
2361 - UST FACILITY
FACILITY_ID
FA0012764
FACILITY_NAME
SAFEWAY FUEL CENTER #1769
STREET_NUMBER
2802
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\kblackwell
Supplemental fields
Site Address
2802 COUNTRY CLUB BLVD STOCKTON 95204
Tags
EHD - Public
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10 CGRS <br />Test Certification <br />Post Installation Enhanced Leak Detection (ELD) <br />Location: CGRS Project No : 61-28095 <br />Safeway Test Date: April 1, 2024 <br />2802 Country Club Blvd CGRS Techs: Richard Thomas <br />Stockton, CA 95204 Adam Montejano <br />This document certifies that the UST systems listed below at the above referenced location have <br />been tested and passed the iota° VaporTite V005 tightness test. CGRS further certifies that the <br />iota° VaporTite V005 meets the post installation testing requirements for post installation testing <br />for newly installed underground storage tank systems as per the California Health and Safety Code, <br />Chapter 6.7, section 25290.1(j)(1). <br />Post Installation ELD Test Results <br />87 Octane <br />Primary Containment System <br />Pass <br />91 Octane <br />Primary Containment System <br />Pass <br />Diesel <br />Primary Containment System <br />Pass <br />IOTA Tech Signature: <br />Reviewed by: <br />Richard Thomas CA Tank Tester #06-1727 <br />Chris`Murphy 6ho6ctor of CA Services <br />4/1/2024 <br />Date <br />4/2/2024 <br />Date <br />
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