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COMPLIANCE INFO_2020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231906
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
11/3/2021 4:04:16 PM
Creation date
1/17/2020 11:55:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0231906
PE
2361
FACILITY_ID
FA0003776
FACILITY_NAME
KWIK SERV LODI BW 113*
STREET_NUMBER
420
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06202042
CURRENT_STATUS
01
SITE_LOCATION
420 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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iiN <br /> Work Order Job : 339542 <br /> Contractor License: 485184 PO# : 3382477 <br /> Ref# : 3382477 <br /> Category : Tanks- Lines Unit# : 03 <br /> Component : Fuel Item : TANK <br /> Failure: Sample Serial# : <br /> Repair : Task# : 8 <br /> Labor and Travel <br /> Start Date Tech Name Travel Labor Total Hours <br /> 10/24/2019 7:30 AM i Mike Smith ~ 0. 501 T3 .251 3 .25 <br /> Totals : o.50 3. 25 3 .25 <br /> We do not guarantee solutions to all problems with one service call . Due to part and equipment issues , intermittent problems , and other reasons, <br /> multiple trips may be required . Travel charges will be added for each service call required . Your signature below acknowledges that the times <br /> recorded and work described Is accurate. If applicable, parts and labor warranty is limited to that offered by the manufacturer only. Customer is <br /> responsible to verify that all programming (i . e, pricing, PLU , etc.) is accurate. Service Station Systems, Inc. is not responsible for any damages , loss, or <br /> expenses incurred due to electronic system failure, data breach, or corruption including , but not limited to, connectivity for hardware, software operation , <br /> virus or malware, or program setting /reports that may be related to our work. We are not responsible for down time or loss of business or revenues due <br /> to the work being performed . Current labor and travel rates , in effect at the time of this work, will be charged . This is not a final invoice . All terms and <br /> conditions in your current customer agreement or quote for this specific job are in effect. <br /> Signature : Signed By Mike singh Date Signed 10/24/2019 11 : 13 :00 AM <br /> i <br /> z <br /> Report Date : 10/24/2019 11 : 13 ; 03 AM PST Page 2 of 2 <br />
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