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COMPLIANCE INFO_2007-2011
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231801
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COMPLIANCE INFO_2007-2011
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Entry Properties
Last modified
11/9/2022 9:10:07 AM
Creation date
6/23/2020 6:52:47 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2007-2011
RECORD_ID
PR0231801
PE
2361
FACILITY_ID
FA0003290
FACILITY_NAME
COUNTRY MART GAS & FOOD
STREET_NUMBER
34243
Direction
S
STREET_NAME
CHRISMAN
STREET_TYPE
RD
City
TRACY
Zip
95304-9334
APN
25318004
CURRENT_STATUS
01
SITE_LOCATION
34243 S CHRISMAN RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231801_34243 S CHRISMAN_2007-2011.tif
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EHD - Public
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Advanced GeoEnvironmental, Inc. www.advgpqeriv.c0 <br />CR/837 Shaw Road, Stockton, California 95215 a Phone (209) 467-1006 ® Pax (209) 467-1118 <br />1 --- — — — — — -1— - --- -iI1 eon— — — If Aa IVIEN 100 <br />CHAIN OF CUSTODY RECORD <br />Date: Page—Lof <br />N <br />D -- <br />F-1 2318 Fourth Street, Santa Rosa, California 45404 s Fbane (707) 570-1418 * Fax (707) 570-1461 <br />E] 395 Del Monte center, #t i i, Monterey, California 93940 * Phone (8(*) 511-93011 a Fax (831) 394-5979 <br />Analysis Required <br />tz <br />zz <br />Project Nam /�tl*d A 1A rk —pral M er Ajot.,Le- <br />client <br />tab Project No.: T <br />Invoice to; �AGE 0 Client <br />Sanqp1c IDJLAc9fionADe&&"01t Daft Time Mstrix Number Notes <br />P-l-qv6JW by <br />Date: Tipft: LaborWay, <br />Received by: <br />Date: <br />Time: <br />Relinquished by., <br />Daft: <br />Time: Received by: <br />Date- <br />Time; <br />ReUnquished by: Our. Time: Received by: <br />Requnted -rurm Am=d Time (circ6e2 h-949 hours 72 hours 5 drys (st3ndar Other <br />Date: T'"c: <br />matrix Codes, A=Air V1= Water S=Solid <br />Sper-W lostrucficms to Lob: <br />I hereby authorize she perforrrutnoc of the above indicated vAwL <br />trBCfOCT EDF to: 0 -- pM=kew@advgeoMV,QM <br />GL*buJ ID: <br />N <br />D -- <br />
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