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COMPLIANCE INFO_2010-2015
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231692
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COMPLIANCE INFO_2010-2015
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Last modified
12/28/2023 11:35:02 AM
Creation date
6/3/2020 9:51:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2010-2015
RECORD_ID
PR0231692
PE
2361
FACILITY_ID
FA0000212
FACILITY_NAME
Mossdale Chevron
STREET_NUMBER
444
Direction
W
STREET_NAME
MOSSDALE
STREET_TYPE
RD
City
LATHROP
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
444 W MOSSDALE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231692_444 W MOSSDALE_2010-2015.tif
Tags
EHD - Public
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Carl W Henderson dba: 46 <br />HMC <br />Henderson Maintenance Company <br />PO Boz 31325 <br />Stockton, CA 95213 <br />(209) 467-7573 FAX: (209) 465-4988 <br />CSLB License 856771 <br />Site <br />ARCO - Lathrop <br />444 Mossdale Rd <br />Lathrop, CA 95330 <br />(209)234-1256 <br />Customer Order # <br />Air <br />4P WORK ORDER <br />RECEIVED <br />MAY 2 7 2014 Work Order # W-285210 <br />EWIRONMENTAL HM7 Fork Order Date 5/20/2014 <br />PERMIT/SERVICES <br />INVOICE # <br />Technician <br />Wayne <br />BAS 1 <br />QTY <br />ITEM <br />DESCRIPTION <br />Service Request <br />W&M issues: t,5,6 & 8-87 Under registration. 1,2 & 7 OUT OF SERVICE RED <br />TAGGED.. I Diesel OUT OF SERVICE RED TAGGED. <br />...Service Call... <br />1 <br />Labor O/T <br />5-20-2014 '4 Op Found red tag missing at #7. #1/2 needs Healy motor plus a power <br />board to get sel running. Found no problem with #7-87. Found #11 -diesel needs valve <br />O -Ring at top I lealdng). Found no problem with #6. <br />PART LIST: <br />1/2 3/V595 S 51936B: Healy Motor & Power Board <br />#12 -diesel: 0 ing. <br />1 <br />Travel <br />Travel <br />NOTE: Connn place red tagged positions in service until repairs are made and/or <br />CALIBRATI is confirmed. <br />Sales Tax rrin"' E C E V D <br />MAY 7 20% <br />ENVIRONMENTAL HEALTH <br />DEPARTMENT <br />Unless otherwise provided by law, the seller (Henderson Main <br />Company) hereby disclaims all warranties, either express or implied, <br />including any implied warranty of merchantability of fittness for a <br />particular purpose, may use other than OEM parts and neither assum <br />nor authorizes any other person to assume for it any liability in <br />with the sale of said products. <br />OIL - <br />Owners authorized representative signature <br />[on <br />
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