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COMPLIANCE INFO_2003-2005
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231430
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COMPLIANCE INFO_2003-2005
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Last modified
1/2/2024 12:38:04 PM
Creation date
6/23/2020 6:48:32 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2003-2005
RECORD_ID
PR0231430
PE
2361
FACILITY_ID
FA0000848
FACILITY_NAME
QUIK STOP MARKET #2121
STREET_NUMBER
1196
Direction
W
STREET_NAME
LOUISE
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
217-410-43
CURRENT_STATUS
01
SITE_LOCATION
1196 W LOUISE AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231430_1196 W LOUISE_2003-2005.tif
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EHD - Public
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f � <br /> WORKACKNTO <br /> gle i MAY 16 2003 ` 'DATE: - �� BJ AUTx#: <br /> fT _ <br /> FACILITY#: t <br /> � 1 <br /> Environmental,Inc. <br /> -'_--=_ --__.._ -_j <br /> ADDRESS: u � <br /> 2525 W.BURBANKBLVD. TEL:(818)840-7020 CITY/STATE: ,,, ,,(,,� ,, <br /> BURBANK CA 91505-2302 FAX:(818)840-6929 COUNTY j yg1j1V TECH: <br /> Zj= <br /> SERVICE RE UESTED CBEC <br /> TANK TIGHTNESS TEST MONITOR CERTIFICATION ENVIRONMENTAL REPAIRS F- <br /> PRODUCT LINE TEST rL=-� FACILITY INSPECTION ❑ OTHER C <br /> LEAK DETECTOR TEST VAPOR RECOVERY TEST El <br /> SERVICES PERFORMED <br /> 7, <br /> fir; <br /> -1�/, J77 T <br /> PARTS <br /> Quantity Description Quantity Description <br /> U _ LABOR HOURS: flit' <br /> ARRIVAL-• TRAVEL HOURS. <br /> ---- - -_-- - DEPAU _ LESS MEAL TIME: <br /> CUSTOMER PRIM'NAME <br /> C.USTOMI;R SIGIvA'I'L1RE - <br /> -- DATE, <br />
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