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COMPLIANCE INFO_2011-2012
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231995
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COMPLIANCE INFO_2011-2012
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Last modified
1/18/2023 11:55:25 AM
Creation date
6/3/2020 9:56:19 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2011-2012
RECORD_ID
PR0231995
PE
2361
FACILITY_ID
FA0006438
FACILITY_NAME
United # 5446
STREET_NUMBER
1403
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12323246
CURRENT_STATUS
01
SITE_LOCATION
1403 W COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231995_1403 W COUNTRY CLUB_2011-2012.tif
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EHD - Public
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TANK TEK ENVIRONMENTAL CORPORATION WORK ORDER <br />Name: p �,. _ o �, <br />Date: b �,17 <br />Street Address: ,. <br />Work Order # <br />City, State, Zip: _Lc <br />[Reasonfor Site Visit: �, bt� <br />Technician Name:. <br />Testing Results <br />_ <br />P <br />F <br />P <br />F <br />Pressure Decay <br />PV Cap Test <br />Blockage <br />Monitor Cert. <br />Liquid Removal <br />Spill Bucket Test <br />q/L <br />Leak Detector Test <br />Static Torque <br />Line Test <br />Drop -tube Test <br />Description of Work Performed: 0 r, <br />SbCi & a <br />Description <br />Make <br />Model <br />Serial Numbers <br />7Quarntity <br />A <br />R <br />- <br />4-a0. <br />T <br />Z -A <br />7 C <br />S <br />Tech. <br />Arrival Time <br />Departure Time <br />Travel Hours <br />Total Hours <br />L <br />A <br />CX�r .�. <br />�r>�• <br />B <br />O <br />R <br />Station Employee Name: <br />Station Employee Signature: <br />
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