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COMPLIANCE INFO_1984-2002
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231442
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COMPLIANCE INFO_1984-2002
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Last modified
8/9/2022 4:49:19 PM
Creation date
6/3/2020 9:49:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1984-2002
RECORD_ID
PR0231442
PE
2361
FACILITY_ID
FA0006441
FACILITY_NAME
QUIK STOP MARKET #5124*
STREET_NUMBER
505
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
217-260-21
CURRENT_STATUS
01
SITE_LOCATION
505 N MAIN ST
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231442_505 N MAIN_1984-2002.tif
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EHD - Public
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IV CONTRACTORS, Cointittuation <br />.7 jwam Dr. State Lic. #660076J. <br />CA 95205 Original w/o # <br />461-6337 Fax (209) 461-6342 Ref: <br />O. # j FAC# DATE <br />,;) <br />f <br />JOB NAME/qa <br />PUMP TEST HOSE # <br />JOB SITE <br />• <br />MONEY TOTAL <br />Lei <br />M <br />0 <br />rol <br />TOTAL GALLONS <br />1 px, g <br />ORDERED BY <br />TOTALIZER BEFORE <br />TOTALIZER AFTER <br />nFqrR1PT1nN OF WORK DONE <br />I HEREBY ACKNOWLEDGE COMPLETION OF THE ABOVE DESCRIBED WORK <br />SIGNATURE X --V <br />MATERIAL AND LABOR RECORD <br />WHITE — OFFICE COPY CANARY — FILE COPY PINK — CUSTOMER COPY <br />MATERL4L USED <br />Lei <br />M <br />0 <br />rol <br />199 <br />1 px, g <br />n# <br />I wmoN Mom <br />m <br />0 <br />m <br />0 <br />0 <br />w <br />0 <br />m <br />m <br />m <br />if <br />IM <br />NONE <br />COM!�"� -----NO WAMANTY WORK -YFS crr: -YFS <br />WHITE — OFFICE COPY CANARY — FILE COPY PINK — CUSTOMER COPY <br />
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