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SR0087736_SSCR
Environmental Health - Public
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EHD Program Facility Records by Street Name
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99 (STATE ROUTE 99)
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11396
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2600 - Land Use Program
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SR0087736_SSCR
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Entry Properties
Last modified
11/19/2024 1:52:09 PM
Creation date
5/1/2024 2:46:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCR
RECORD_ID
SR0087736
PE
2603
STREET_NUMBER
11396
Direction
N
STREET_NAME
STATE ROUTE 99
City
LODI
Zip
95240
APN
05926010
ENTERED_DATE
2/20/2024 12:00:00 AM
SITE_LOCATION
11396 N HWY 99
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\gmartinez
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EHD - Public
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CRISP TANK NESTING �-�--- �a <br /> OWNER of tl rE <br /> 2004 Piccoli Rd, #g / 3 2 5 <br /> Stockton, CA 95205 HORNER EASY tESTING METHOD ( 0 '5 It, 5 ,-k ADDRESS <br /> WORKSHEET CITY-STATE-IIP CODt <br /> L <br /> � ,,//�� <br /> TANK No. TEST LEVEL PRODUCT rgm l"o PACITY 0 0 CHART CAL 4 !� .. 00.9 9'0 (A) OWNER OF TANKS <br /> MEASURED GRAVITY PRODUCT TEMP COEFFICIENT�{��.� �TEMP CAL4D(I4 4I� 1. (B} ADDRESS <br /> Air Temp— a <br /> w rnJE n1 C>i/�AOfd ' .f t Cu v <br /> EST LEVEL LEVEL GAIN• x(A) LNEVEL TEMP. TEMP, GAIN+ x(B) TEMP. FINAL CITY-STATE-XIP CODE <br /> 'O. START ENO LOSS— x(A) RESULT START END LOSS— x(B) TIME <br /> RESULT RESULT <br /> ! h <br /> • ` X Q � y- OPERATORS NAME AT SITE <br /> knL I Ca . �„ <br /> 2 _ d X 1 — x w <br /> / 0 r Q �e 1�l S$ TYPE OF SYSTEM <br /> •f <br /> _ f.L$S 19SU <br /> BMERCE ❑ SUCTION <br /> LENGTHOF COLOR CODE OF hiD <br /> ]ucD40 • � r© © 2 1513 FILL PIPE <br /> N L <br /> 3 „ CLEAR ORANG <br /> X =} — s = : RED <br /> LL X <br /> T 7 , 41 0 0 r C'� �j ♦ a F ♦ f©0 7O 1 30 DIAMETER OF TANK <br /> .^Js: .�METAL <br /> y� i/ <br /> '� � 7 ,� � X � # � r X^ .F � c /,J�� �"7 � ❑ FIBERGLR <br /> 0009 1 � •� � � 4 Q ��� � 1 � r Q Il[✓�� C]`C�s TYPE OF RECOVERY SYSTEM <br /> IL x s' / — 4- �` -� ❑BALANCE ❑ RED JACKET ❑HEAL' <br /> Q s x / s <br /> ► ® � } �V D 0 T Q 5,©Q � f• 1600 WATER LEVEL IN TANK <br /> ,v� Liquid level <br /> 99 X . , a X -a4 � a9 � <br /> DEPTH OF GROUND WATER (IF KNOWN) <br /> Xy 4d sO + , 03 X v . 6 0 4/",-/ <br /> DATE/TIME STORAGE SYSTEM FILLED <br /> ��+ l�r j A• <br /> STATION LOCATION I C/ CERTIFIED TIGHT ' s - /O -- DATE TIME <br /> ADDRESS G�3 /1/ AGE OF TANKS <br /> w LEAK RATE PER HOUR 67 2 /2 <br /> 1 TY Loa; ° Nk,✓DwAl <br /> I STATE �� OPERATOR_;� ? 3U 15 C Y 10'F, -P -- Y <br /> —�� AGE OF LINES <br /> GATE - - e7SIGNATURE , ' <br /> TESTING FLUID, IF DIFFERENT THAN <br /> nv::n PnD Or"A4KC STORED MATERIAL <br />
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