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COMPLIANCE INFO_2018
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231125
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COMPLIANCE INFO_2018
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Entry Properties
Last modified
3/8/2021 4:41:49 PM
Creation date
6/23/2020 6:43:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2018
RECORD_ID
PR0231125
PE
2361
FACILITY_ID
FA0003730
FACILITY_NAME
TIWANA GAS & FOOD
STREET_NUMBER
1210
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
09403012
CURRENT_STATUS
01
SITE_LOCATION
1210 E HAMMER LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
KBlackwell
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231125_1210 E HAMMER_2018.tif
Tags
EHD - Public
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Parkwood Gas& Food 8888157 p.18 <br /> .-: ,; <br /> 416 2nd Street <br /> Gait_, Ca. 95632 INVOICE NUMBER <br /> 800 524-9087 6/13/2016 24835 <br /> BILL TO SITE <br /> Tiwana Gas &Food Tiwana Gas&Food <br /> Paul Singh Paul Singh <br /> 1210 E.dammer Lane 1210 E. Haanmer Lane <br /> Stockton, CA 95210 Stockton, CA 95213 <br /> P.O. No. Site ID# 1136-2 <br /> ITEM CODE QTY DESCRIPTION EACH AMOUNT <br /> DesOp Designated Operator Monthly Inspection JUNE (Test 0.00 0.00 <br /> Month) <br /> ATG Annual Monitor Certification - 6 UDC or Less 299.00 299.00 <br /> Lk Det 3 Leak Detector Test 489 Failed HMC TO repair& Retest 60.00 180.00 <br /> Lk Det--] Leak Detector-Install &Test 489 Oct 80.00 80,00 <br /> Spill Buckets`v/T 3 Spill Bucket Testing with other Testing 50.00 150.00 <br /> Mileage 26 Fuel Surcharge Per Mile One Way 1,00 26.00 <br /> QLD Leak Detector-Vaporless 99LD-2000 * REPLACED FOR 0.00 0.00 <br /> WARRANTY * Pending product replacement. <br /> VR3 576010-695... Shields- VR Battery f/TLS- 3XX series,3.5V 34.00 34.00 <br /> *Postmark by 7/1/16 and pay discounted rate of$729.00 <br /> � + <br /> J t_1 <br /> 2 Z J 1+_. <br /> ENV RONIMENTPL <br /> R [c:P RT I1 T <br /> i A', tit!. s1 (: .<i... i., <br /> Tota I $769.00 <br /> Afforda-Test pays the State sales tax on parts. City or District taxes or permits are site's responsibility. <br /> F_ ALL ADDITIONAL COPIES OR FAXES OF RESULTS ARE CHARGED S10. PLEASE CALL WITH CREDIT CARD. <br /> Received Time Ju1. 25. 2018 10 : 46AM No. 3918 <br />
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