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COMPLIANCE INFO 2009 - 2013
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231706
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COMPLIANCE INFO 2009 - 2013
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Entry Properties
Last modified
6/11/2019 11:57:34 AM
Creation date
4/10/2019 3:28:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2009 - 2013
RECORD_ID
PR0231706
PE
2361
FACILITY_ID
FA0000485
FACILITY_NAME
FLAG CITY CHEVRON
STREET_NUMBER
6421
STREET_NAME
CAPITOL
STREET_TYPE
AVE
City
LODI
Zip
95242
APN
05532024
CURRENT_STATUS
01
SITE_LOCATION
6421 CAPITOL AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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09/21/2009 11:49 120933341373 FLAGCITV CHEVRON PAGE 11/'12 <br /> ELITE IV CONTRACTORS, INC. JOB WORK ORDER & <br /> f' 2535 Wigwam Dr. State Lic.#660076 <br /> stocktonr nA 95265 TIME CARD Ref # ` <br /> (209)461.6337 Fax(209)461.6342 <br /> TAKEN BY <br /> PHONE a DATE ,I :� TIME <br /> P.O, M FAC# <br /> JOB NAME r 7PU:MP:TEST HOSE & <br /> MONEY TOTAL <br /> JoB SITE <br /> TOTAL GALLONS <br /> ORDERED 0Y TOTALIZER BEFORE ` <br /> TOTALIZER AFTSR <br /> `\ <br /> WORK ORDERED �, �� _ ,✓ r.., <br /> DESCRIPTION OF WORK DONE <br /> ,' , I' `„�...; C �' ,. r. •,r•° J.P.....,,.�^^ ,,rr1 —... ',1,✓7 (f ^,ear,"«..-�Rrr' ''� <br /> .,�� f� '^ !' � rd0 f l,•.'" .'- �'.I`1"y� ^r`'w• ,-•4.^,,�e .� ":!r""'.. `u'� !1- <br /> J�:� n....n ff`,r�) }��Y'�=t.., G')r ,•ti% .,ey_ .�+ ,�7`✓,n.ltf/' '�:,'�- �'�. 7'.✓��r±�.rte. r +-. • ;i1:n,,r'r� <br /> I HEREBY ACKNOWLEDGE COMPLETION OF THE ABOVE DESCRIBED WORK' W� <br /> SIGNATURE <br /> MATERIAL ANT) LABOR RECORD A� <br /> QTY MATERIAL USED PRICE AMOUNT QT'4 MATERIAL USED PRICE AMOUNT <br /> TOTAL. MATERIAL <br /> TAX <br /> TOTAL <br /> \ ` TECH SITE IN SITE OUT HRS RATE AMOUNT <br /> PM-. <br /> AM AM <br /> 1 <br /> PM PM <br /> AM AM <br /> \ PM PM <br /> ` AM AM <br /> \+ PMM PM <br /> TRAVEL TrME <br /> TOTAL MILtGE <br /> t ,r <br /> COMpLp,TED ``' V�9 NO WARRANTY WORK VMS —NO OT: Y1P4 �"�O ARANO TOTAL <br /> WHITE—OFFICE COPY CANARY—FILE COPY PINK—CUSTOMEA COPY <br />
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