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COMPLIANCE INFO 2004 - 2007
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2300 - Underground Storage Tank Program
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PR0231175
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COMPLIANCE INFO 2004 - 2007
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Entry Properties
Last modified
12/7/2023 4:36:29 PM
Creation date
11/8/2018 9:42:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2004 - 2007
RECORD_ID
PR0231175
PE
2361
FACILITY_ID
FA0001247
FACILITY_NAME
DP & DK Investments, Inc.
STREET_NUMBER
1206
Direction
E
STREET_NAME
MARCH
STREET_TYPE
LN
City
STOCKTON
Zip
95210
CURRENT_STATUS
01
SITE_LOCATION
1206 E MARCH LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Supplemental fields
FilePath
\MIGRATIONS3\M\MARCH\1206\PR0231175\COMPLIANCE INFO 2004 - 2007.PDF
QuestysFileName
COMPLIANCE INFO 2004 - 2007
QuestysRecordDate
4/6/2018 9:22:04 PM
QuestysRecordID
3847503
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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Dec l�3 07 08: 37a Elite Iv Contractors Inc 2094616342 P. <br /> .. 0 <br /> ---------------- <br /> UNIFIED PROGRAM CONSOLIDATED FORM <br /> TANKS <br /> UNDERGROUND STORAGE TANKS-INSTALLATION <br /> CERTIFICATE OF COMPLIANCE (onc page pertank) <br /> Page_of_ <br /> L FACIIITY IDENTIFICATION <br /> �. <br /> BUs—.FSSN hE(s euF ANG2.116A-pall m< As) n_ ]L <br /> 1 �Y/ 1 lWl �f �/F <br /> ADDRESS(Fmmalueeany 1 �• )/fit . JI `. I 'Ii.( %c �✓ <br /> FACILITY IDN l TANKIDN <br /> O` D.INSTALLATION <br /> (Check all that apply) <br /> a <br /> e installer has been trained and certified by the tank and piping manufactmeZm <br /> The installation has been inspected and certified by a registered professional engineer having education and experience <br /> underground storage tank installations. �. <br /> The installation has been inspected and approved by the Unified Program Agency. <br /> MI. <br /> 9/�A11 work listed on the manufacturer's installation checklist has been completed. <br /> �he installer has been certified or licensed by the Contractors'State License Board <br /> The underground storage tank, any primary piping, and secondary containment was installed according to applicable 083 <br /> voluntary consensus standards and written manufacturer's installation procedures. <br /> Description of work being certified: <br /> 41aud Aot <br /> M.TANK OWNER/AGENT SIGNATURE <br /> I certify that the information provided herein is We and actuate to the best of my knowledge. <br /> ae<. <br /> SIGNA G <br /> . at5. T TANK WNER/A ass. <br /> ANK f�IER/AG print) <br /> UPCF(1199)ffwfw -c-12 hltp:8www.mudoesorg ��•OutG/0a <br />
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