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COMPLIANCE INFO_2013-2017
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2300 - Underground Storage Tank Program
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PR0231476
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COMPLIANCE INFO_2013-2017
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Last modified
2/9/2024 1:49:45 PM
Creation date
6/23/2020 6:49:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013-2017
RECORD_ID
PR0231476
PE
2361
FACILITY_ID
FA0000684
FACILITY_NAME
QUIK STOP MARKET #3125
STREET_NUMBER
1580
Direction
W
STREET_NAME
MAIN
STREET_TYPE
ST
City
RIPON
Zip
95366
APN
259-090-21
CURRENT_STATUS
01
SITE_LOCATION
1580 W MAIN ST
P_LOCATION
05
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231476_1580 W MAIN_2013-2017.tif
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EHD - Public
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0 • <br />EI,ft IV CONTRACTORS <br />Work Order ,�.��� � �11%����o�-���.i1`�5�'P•�'i`� <br />2535 Wigwam Dr. State Lic. 41001331 <br />Stockton, CA 95205 Ref- <br />(209) 461-6337 Fax (209) 461.6342 <br />P.O. I I (�� FACT I A, DATE i, <br />/Ail l i i <br />DESCRIPTION dF WORK DONEA _ _ — I/ i_ „r,.... _ u <br />�l"1 i � r T .lC�[..✓' .c � // /�'K�✓ �t /iCl Ct.� 5 - /J(/�' /VO r (� � r.U^� -. <br />w3 Ai <br />HEREBY ACKNOWLEDGE COMPLETION OF THE ABOVE DESCRIBED WORK <br />SIGNATURE X <br />XAAT1wUTAT Ai%m i.ARnu ulwv R <br />QTY <br />r <br />PRICE <br />AMOUNT <br />SITE IN <br />JOB NAME <br />PUMP TEST HOSE N <br />RATE <br />AMOUNT <br />TECH <br />JOB SITE <br />MONEY TOTAL <br />TOTAL GALLONS <br />ORDERED BY <br />TOTALIZER BEFORE <br />AM <br />PM <br />'/r <br />TOTALIZER AFTER <br />lb ' <br />t ti v <br />1 1 <br />AM <br />PM <br />DESCRIPTION dF WORK DONEA _ _ — I/ i_ „r,.... _ u <br />�l"1 i � r T .lC�[..✓' .c � // /�'K�✓ �t /iCl Ct.� 5 - /J(/�' /VO r (� � r.U^� -. <br />w3 Ai <br />HEREBY ACKNOWLEDGE COMPLETION OF THE ABOVE DESCRIBED WORK <br />SIGNATURE X <br />XAAT1wUTAT Ai%m i.ARnu ulwv R <br />QTY <br />MATERIAL USED <br />PRICE <br />AMOUNT <br />SITE IN <br />SITE OUT <br />HRSl� <br />RATE <br />AMOUNT <br />TECH <br />PM <br />r �� <br />AM <br />PAI <br />AM <br />PM <br />AM <br />PM <br />AM <br />PM <br />AM <br />PM <br />AM <br />PM <br />AM <br />Phi <br />AM <br />PAf <br />TRAVEL TIME <br />TOTAL MILAGE Li <br />COMPLETED Im _—NO WARRANTY WORK _YES O OT: _YES O <br />GRAND TOTAL <br />WHITE - OFFICE COPY <br />
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