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COMPLIANCE INFO_2005-2012
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2300 - Underground Storage Tank Program
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PR0231401
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COMPLIANCE INFO_2005-2012
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Last modified
11/19/2024 10:19:32 AM
Creation date
6/3/2020 9:48:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2005-2012
RECORD_ID
PR0231401
PE
2361
FACILITY_ID
FA0006388
FACILITY_NAME
KWIK SERVE
STREET_NUMBER
950
Direction
W
STREET_NAME
ELEVENTH
STREET_TYPE
ST
City
TRACY
Zip
95376
APN
23406002
CURRENT_STATUS
01
SITE_LOCATION
950 W ELEVENTH ST
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231401_950 W ELEVENTH_2005-2012.tif
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EHD - Public
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Nov 02 OS O4:59p Elite Iv Contractors Inc <br />� �! 6/ _ 1. �•�J <br />Yxu- <br />9 <br />2094GIG342 <br />CONx'RACTOYtS, JOB WORK ORDER <br />son dr. State Lic. M0076 <br />CA 95205 f !i C�R® <br />461-6337 Fax(209)461-6342 i f V i• .r ':� <br />;!` — <br />P.Q. r •. �_ , FAC Y PHONEY DATE,// TIME <br />JOB NAME PUMP TEST HOSE N <br />JOB SITE /r MONEY TOTAL <br />t .s <br />TOTAL GALLONS <br />ORDERED TOTALIZER DEFORE <br />TOTALIZER AFTER <br />WORK ORDERED 1`', ! <br />p.l <br />Ref# 18890 <br />f% TAKEN BY <br />01 <br />DESCRIPTION OF WORK DONE <br />CyrL Qr f r+J <br />'V L a Arte a < <br />4A. At h07 yff 12Eat--- 2&:f <br />.� _ _ _ 1' /1 I � .. � r�— - � _ (�.O � r /4, I/ � . �A� L~�1 U:: i 7. _. � P mill .� £ r�7RAd"✓1 <br />I HEREBY ACKNOWLEDGE COMPLETION OF THE ABOVE DESCRIBED WORK <br />SIGNATURE X. <br />"AVIVOTAT. Awn T.AROR Rl <br />COMPLETED )0 Ml��Mm <br />M0I1TI. — OFFiCP COPY GANA"i — M.L Ga— <br />MEN <br />—MEOE <br />IVA <br />NONE <br />ENEWI11 <br />AL <br />RAW, <br />— <br />Imm <br />HIM <br />MEMEMIMMEMEMEME <br />HIM <br />ME <br />IMMENEROMMEME <br />moo;MEMOEMEM <br />M0I1TI. — OFFiCP COPY GANA"i — M.L Ga— <br />
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