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COMPLIANCE INFO_2009
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231310
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COMPLIANCE INFO_2009
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Last modified
8/25/2022 2:32:10 PM
Creation date
6/23/2020 6:46:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2009
RECORD_ID
PR0231310
PE
2361
FACILITY_ID
FA0003773
FACILITY_NAME
VAN DE POL ENT INC/PACIFIC PRIDE
STREET_NUMBER
351
Direction
N
STREET_NAME
BECKMAN
STREET_TYPE
RD
City
LODI
Zip
95240
APN
04903015
CURRENT_STATUS
01
SITE_LOCATION
351 N BECKMAN RD
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231310_351 N BECKMAN_2009.tif
Tags
EHD - Public
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z. <br /> Continuation <br /> 1A/P` <br /> �4 TRACTO S, Iinai / <br /> State Lic.#660076 <br /> os e : <br /> Fax(209)461-6342 j <br /> r <br /> FAC# DATE <br /> I PUMP TEST HOSE# / <br /> AME L... �J <br /> s MONEY TOTALzo <br /> JOB SITE <br /> TOTAL GALLONS <br /> a TOTALIZER BEFORE <br /> ORDERED BY <br /> TOTALIZER AFTER <br /> DESCRIPTION OF WORK DONE <br /> 700 <br /> j <br /> r <br /> is <br /> I HEREBY ACKNOWLEDGE COMPLETION OF THE ABOVE DESCRIBED <br /> SIGNATURE <br /> MATERIAL L OR COR- <br /> QTY <br /> MATERIAL USED PRICE AMOUNT TECH SITE IN SITE OUT HRS RATE AMOUNT <br /> ,M1q. M <br /> 01 + <br /> flX- <br /> �/- ' e/t- G aha PMA <br /> AM AM <br /> PM PM U ` <br /> AM AM <br /> PM PM <br /> AM AM <br /> PM PM <br /> TRAVEL TIME <br /> # TOTAL MILAGE <br /> ,.\ <br /> WARRANTY WORK O OT:_YES .___.NO GRAND TOTAL <br /> _.VES -N <br /> COMPLETED_YES —N® CANARY—FILE COPY PINK—CUSTOMER COPY <br /> WHITE—OFFICE COPY <br />
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