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COMPLIANCE INFO_1999-2010
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2300 - Underground Storage Tank Program
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PR0232224
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COMPLIANCE INFO_1999-2010
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Last modified
4/7/2021 10:42:38 AM
Creation date
6/3/2020 9:56:35 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1999-2010
RECORD_ID
PR0232224
PE
2361
FACILITY_ID
FA0001877
FACILITY_NAME
AM PM HAMMER/I5 FOOD #83113
STREET_NUMBER
3250
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95209
APN
08240009
CURRENT_STATUS
01
SITE_LOCATION
3250 W HAMMER LN
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0232224_3250 W HAMMER_1999-2010.tif
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EHD - Public
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ELITE IV CONT CTO S, Y, C. - <br /> 2535 <br /> . -2535 Wigwam Dr. State Lic.#660076 JOB WORK ORDER <br /> Stockton,CA 95205 pp <br /> (209)461-6337 Fax(209)461-6342 TIME C @f 4 <br /> P.O.# _ FAC# PHONE.# DATE// , TIME TAKEN BY <br /> JOB NAME PUMP TEST HOSE# <br /> JOB SITE MONEY TOTAL i f <br /> " i rTOTAL GALLONS <br /> ORDERED BY TOTALIZER BEFORE <br /> TOTALIZER AFTER <br /> WORK ORDERED <br /> DESCRIPTION OF WORK DONE Al <br /> �' '" 'f- r'�,`'1� (.wt } � � / `�' r".�'j..t�...'Pj r�,"/ �"`ii/ '` ..t i � �` .d' �'` I� '� i'•1' <br /> 1 ,. !�� �• ,� j� '1r 3, ' , lY �''d'"'•?'<''s�^ � Q' ,1ji r , '7 / 8 � i o-,;,,.!'�i.: <br /> I HEREBY ACKNOWLEDGE COMPLETION OF THE ABOVt" DESCRIBED WORK ' 1 !'« .._•,_.._�_- <br /> SIGNATURE - <br /> �— .TAY <br /> MATERIAL AND LABOR RECO ', <br /> QTY MATERIAL USED PRICE AMOUNT QTY MATERIAL USED PRICE AMOUNT <br /> TOTAL MATERIAL <br /> TAX <br /> TOTAL <br /> TECH SITE IN SITE OUT HRS RATE AMOUNT <br /> ,AM i <br /> AM <br /> AM AM <br /> PM PM <br /> AM AM <br /> PM PM <br /> AM AM <br /> PM ' PM <br /> TRAVEL TAKE <br /> Y <br /> TOTAL MILAGE <br /> COMPLETED`YES ----NO WARRANTY WORK_YES NO OT:_YES _NO GRAND TOTAL <br /> WHITE—OFFICE COPY CANARY—FILE COPY PINK—MIRMLIPA may <br />
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