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COMPLIANCE INFO 2004 - 2011
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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EMBARCADERO
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2300 - Underground Storage Tank Program
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PR0231098
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COMPLIANCE INFO 2004 - 2011
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Last modified
7/25/2019 8:52:05 AM
Creation date
7/24/2019 4:44:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2004 - 2011
RECORD_ID
PR0231098
PE
2361
FACILITY_ID
FA0003830
FACILITY_NAME
VILLAGE WEST MARINA
STREET_NUMBER
6649
STREET_NAME
EMBARCADERO
STREET_TYPE
DR
City
STOCKTON
Zip
95219
APN
09815006
CURRENT_STATUS
01
SITE_LOCATION
6649 EMBARCADERO DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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KBlackwell
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EHD - Public
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FROM :Donlee pump co. FAX NO. :2095379398 Jun. 25 2008 06:51RM P2 <br />donlee pump company <br />p Y <br />2925 Rallroad Avenua / Corea, CA 95307 <br />(208) 537-9398 / Fax (209) 537-9398 Contractor's License 0432089 <br />® PLACED fN SERVICE NOTICE <br />County Date Se <br />DISTnIBUTORS <br />'ICC Agency Registration No. <br />611113 <br />LOCATION OF DEVICE <br />Nater Ot'Custonter Address City Zip <br />i _L2 <br />" fv O _ <br />WEIGNING OR MEASURING DEVICES PLACED IN SERVICI <br />w Cert. ot'Conf. \o. Out OfOrdCr DCN ice <br />Manufacturer llodei \umber Serial Number DncicC TypC I (lt drvice is new Capacity Tag; <br />and marked) I umhcr LUL�l1Ull . <br />I Remarks: <br />f <br />Ike" <br />i . �✓ 1.bix - <br />p��,Q IV00 worncc t°7' eci kj. <br />Togs Enclosed if Applicable Date Placed In Service Date this Notice w•as: r9iMailed <br />❑ Yes (] No (if no explain in remarks) <br />b��11 � Fazed <br />Print Name orService Agent Signature of Service Agent Service Agent's License No. <br />- Petroleum Handling Equipment - <br />SAN�pI (RSV bot) Fueling and Lubrication Systems . <br />Sales and Service tip, <br />
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