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COMPLIANCE INFO_2013-2018
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2300 - Underground Storage Tank Program
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PR0231939
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COMPLIANCE INFO_2013-2018
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Last modified
10/23/2023 12:58:25 PM
Creation date
6/3/2020 9:55:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013-2018
RECORD_ID
PR0231939
PE
2361
FACILITY_ID
FA0002570
FACILITY_NAME
QUIK STOP MARKET #3144
STREET_NUMBER
7272
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95209
APN
094-040-13
CURRENT_STATUS
01
SITE_LOCATION
7272 WEST LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231939_7272 WEST_2013-2018.tif
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EHD - Public
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DRBSEWWAYNE SERVICE REPORT REPORT NUMBER <br />REPORT # of PAGE 1 TASK # 1 --L PAGE of I, <br />TECHNICIAN NAME} TECH ID w L r. LOCATION PHONE # <br />ASO COMPANY RAMI: z i EQUIPMENT LOCATION � <br />tVOVEL SERIAL #FP <br />'. <br />Rb,„Y' a <br />ALDATE DEPART DATE PROBLEM <br />t' LCI <br />RRVALTIME DEP TIME <br />WORK PERFORMED <br />PART USED {QTY & PART# PART USED IQTY & PAR <br />OLD SERIAL 4 AL I,,-- <br />DUPLICATED <br />!DUPLICATED CALL TASK # <br />MODEL SERIAL # <br />ARRIVAL BATE DEPART DATE PROBLEM <br />ARRIVALTIME DEPART 'TIM f <br />SEP 012!) <br />WORT( PERFORMED <br />USED (QTY & PART #) IPART USED (QTY & PART aI <br />TASK # <br />3. LIST NtrrWo{t}sERIAtkUMPIPS/PWOLEMSMSERVICEBEl"t <br />Z. AIL INFORMAWN MUST RE COMPLETlk AND 5ERVXE REPCIRT SUeMt?7W <br />WHIN 30 DAYS ax 5[RVICC Vftq%PER(SNIMfo fo $ECONSIDEREC FOR <br />PAYMENT: <br />L USTAttCRARUE5 tW PAOEOSL WORT NUMBER WILL EEREEERECEOON <br />PAYMENTANt7 PARTSIAAERS. <br />d, FAR C MPI EEEO FORM T0512 -339159S <br />THE WORK DESCRIBED HAS BEEN <br />SATISFACTORILY PERFORMED, <br />DO NO SIGN UNTIL COMPLETED, <br />x <br />SIGNATURE- QWNERfOPERATOR <br />X <br />940~4ECHNCIAN <br />11 m-1 TVIY <br />REPLACE 22M <br />t) REPAIR 2190 <br />( RETURN Wj PART 9010 <br />{) 140 PROBLEM FOUND 21CO <br />CODE <br />ACTION <br />REPLACE 2204 <br />REPAIR 2194 <br />RETURN Wl PART 9010 <br />NO PROBLEM FOUND 2104 <br />TRIP CHARGE <br />y, IiRS ON tOR � <br />I4IATERtM S @ <br />(DESCRIBE): <br />TOTAL CHARGES $: <br />
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