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COMPLIANCE INFO 2013-2015
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PR0518288
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COMPLIANCE INFO 2013-2015
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Entry Properties
Last modified
2/26/2021 4:34:29 PM
Creation date
11/8/2018 10:21:51 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013-2015
RECORD_ID
PR0518288
PE
2361
FACILITY_ID
FA0013810
FACILITY_NAME
COSTCO WHOLESALE #658
STREET_NUMBER
3250
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95377
CURRENT_STATUS
01
SITE_LOCATION
3250 W GRANT LINE RD
P_LOCATION
03
QC Status
Approved
Scanner
WNg
Supplemental fields
FilePath
\MIGRATIONS3\G\GRANT LINE\3250\PR0518288\COMPLIANCE INFO 2013-2015.PDF
QuestysFileName
COMPLIANCE INFO 2013-2015
QuestysRecordDate
7/5/2017 11:14:25 PM
QuestysRecordID
3483232
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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Wayne Pere )nc Maintenance Division <br /> 30 Main Ave.,Suite 5 8281 Commonwealth Ave. r Job Tickets NCA <br /> —� Sacramento.CA 95838 Ruena Park,CA 90621 <br /> Call ID: <br /> 81ii5 Cnmmvnr Ave. <br /> San Diego,CA 92121 <br /> SERVICE STATION MAINTENANCE RECORD <br /> Date: <br /> Customer Name: <br /> fob a NCM/NFC: <br /> Contact Name: <br /> .� Sc ' <br /> Station Address: U.' )ob#SCM/SFC <br /> Cily!Zip: <br /> l . ,o� job u NO/WA/OR: <br /> F� <br /> Facility 9: <br /> Description of Work Performed: <br /> G / <br /> Is lob Complete? Yom/N If No,Comments: <br /> Ibsbng Performed Y Circle One Tcst Results: GPM A/L-V/L Results <br /> Personnel 'rn ain mut &W' I ii=z <br /> fart tl Part Description Ve calor/Trti-k �,t1 y Unit Pri TQti) <br /> 1..lbM ski total <br /> 'Travel Subtotal <br /> Material Subtotal <br /> wthonr<d Stgnalun• <br /> GRAND TOTAL <br /> Llan• ❑ Dealer Refused to Sign ❑ Co-op ❑ Thud Party <br /> Attadt All,RECMI rc and MS-6a7 FORMS to this Mairtlrnence Reeordl '. Warranty T&M Fixed Cost C.O.D. <br /> WHITE-Accounting • CANARY-Maintenance • PINK-Customer <br />
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