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COMPLIANCE INFO 2010 - 2012
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231948
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COMPLIANCE INFO 2010 - 2012
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Last modified
1/19/2022 9:57:59 AM
Creation date
4/29/2019 11:40:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2010 - 2012
RECORD_ID
PR0231948
PE
2361
FACILITY_ID
FA0003855
FACILITY_NAME
TESORO (SHELL) 68153
STREET_NUMBER
2448
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
05814001
CURRENT_STATUS
01
SITE_LOCATION
2448 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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KBlackwell
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EHD - Public
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HILENIal unance Inc. TIME & MATERIAL <br /> 3224 Regional Parkway a Santa Rosa, CA 95403 INVOICE <br /> NILE (707)5455522 • Fax (707)54545515 Location No. <br /> General Contractor #312844 "— <br /> Cost Element <br /> Contactor <br /> To Involce/lob No.05� 1IS Date <br /> Work <br /> Auth,by <br /> Phone Code <br /> Atten. P.O./Release No. <br /> Location �, d <br /> (St eet) (Clty� <br /> MOO), <br /> Work to be Performed ' <br /> r i <br /> No. Materials Amount No. Equipment Amount <br /> 1 ' <br /> WU <br /> Out Labor: <br /> _ HOURS <br /> Date Gabor Labor Travel Total (tate Amount <br /> 10 �� ✓ s� .. ' <br /> Labor Cost <br /> Completed byDate Iq Materials Cost <br /> Sales Tax <br /> Acknowledgement of Completion Date -- <br /> "owner•Reprrsntigtive> l Equipment <br /> 1 <br /> tMa++fto /! ''' Miscellaneous <br /> ATTENTION: SUBJECT TO ALL TERMS AND CONDITIONS LISTED ON REVERSE SIDE. TOTAL COST <br />
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