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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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HAMMER
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2300 - Underground Storage Tank Program
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PR0518624
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COMPLIANCE INFO_2024
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Entry Properties
Last modified
10/18/2024 2:22:06 PM
Creation date
3/4/2024 4:34:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR0518624
PE
2371 - UST FACILITY - 1702 COMPLIANT
FACILITY_ID
FA0024496
FACILITY_NAME
Costco Wholesale #38 (Gas Station)
STREET_NUMBER
1630
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
LN
City
Stockton
Zip
95210
APN
09428011
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\lsauers1
Supplemental fields
Site Address
1630 E Hammer LN Stockton 95210
Tags
EHD - Public
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i <br /> SANO Q Q U I ' Y Environmental Health Department <br /> �. C. ? U i`J I Y <br /> UST SYSTEM RETROFIT OR REPAIR <br /> (Submit minimum of 3 sets of plans & applications as originals will be retained by EHD ) <br /> 1 . Site map enclosed ? YES [I NO [ ] <br /> 2 . Submit copies of ICC Service Technician and/or Installer' s certificate and all manufacturer training <br /> certificates for each person installing or testing any component that is repaired or replaced . Ensure a copy of <br /> the " Site Health and Safety Plan " is available on the jobsite as required by Title 8 . <br /> 3 . Detailed description of work to be completed . List components to be repaired or replaced and attach a <br /> diagram drawn to scale showing location of repairs and/or replacements . If repairing a component, describe <br /> how this will be done . ( If adding piping , UDC ' s , or other UST equipment , or performing tank top upgrade , <br /> use the UST Installation Application pages 4-8 as necessary for a timely plan review) : <br /> Like for Like replacement of defective 794380-304 sensor within the additive STP sump ( L8 location ) , <br /> completed on 8/30/2023 . <br /> 4 . List of equipment to be used (Attach manufacturer' s specification sheets showing third- party approval ) : <br /> Veeder- Root Sensor 794380 -304 , <br /> 5 . Decontamination Procedures : <br /> a . Will piping be decontamin. " ' "' "r '' " " ' ^ <br /> b . Identify contractor perforr <br /> Name Not Applicable <br /> Address . , :Ip <br /> 3of6i <br />
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