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COMPLIANCE INFO_2014-2015
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0505264
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COMPLIANCE INFO_2014-2015
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Last modified
8/4/2021 4:36:01 PM
Creation date
6/23/2020 6:57:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2014-2015
RECORD_ID
PR0505264
PE
2361
FACILITY_ID
FA0006672
FACILITY_NAME
FLYING J TRAVEL PLAZA #618*
STREET_NUMBER
1501
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
RIPON
Zip
95366
APN
22811017
CURRENT_STATUS
01
SITE_LOCATION
1501 N JACK TONE RD
P_LOCATION
05
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0505264_1501 N JACK TONE_2014-2015.tif
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EHD - Public
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9595 Lucas Ranch Rd.,#100 <br /> ' ervice Report Rancho Cucamonga.CA 91730 <br /> Toll Free(888)972-7581 <br /> • <br /> Fax(909)484-0300 <br /> e-mail:woCa)jonescovev.com <br /> -0rtes-Covey Croup;.Inc., <br /> Customer: GilbarcoNeeder-Root Location: Pilot FJ 9618 Ripon-Address: Pilot FJ 9618 Ripon-Gilbarco <br /> Gilharco 1501 N.Jack Tone Road <br /> Customer W/O n: SR#5346417 CONF# City: Ripon State: CA <br /> C7158344A <br /> Date: 3/5L2014 10:35:58 AM Phone: 209-599-4141 Zip: 95366 <br /> Customer Contact: Scott <br /> V. On Site .Job Completed <br /> Dispenser 21 the DEF is not Working <br /> Reported Scope of <br /> Work: <br /> Priority: Regular Weathcr: Cloudy Temperature: 60 Type of Call: Repair <br /> Checked in kiosk.Removed security locks and plates to access D21 electronics.removed defective Power Control Module <br /> and replaced.Activated D21 DEF and checked handle voltages good Gi1120VAC.Ran DEF pump test checking operational. <br /> Placed 1321 DEF back in service.Opened and Closed call at Gilbarco Warranty.SRP5346417 CONHIC71 58344-A <br /> Work Performed: <br /> (Include Parts <br /> Needed) <br /> Sensor Removed? Sensor to Lowest Any Customer Fuel Filters in .Any Liquid Liquid Placed in Raz[kcal On ... .._...-....-._. <br /> Point?(It Removed) Supplied Items? Customer Drum? Removed? liaz Drum? Drum? .. ..., ,:. <br /> No No No No No No No Yes <br /> Parts Used <br /> Quantity Description New Serial 1#(If Required) Old Serial Number <br /> 1.00000 M07555AO04-Gilbarco Power Control Module encore 50OS- <br /> T'echnician(s) <br /> "technician hype Arrival Departure Total <br /> Johnny Souza Gilbarco Labor— 3/5/2014 9:30:00 AM 3/5/2014 11:00:00 AM 1.50000 <br /> Service Department <br /> Cert#/Type j Cert#/Type Cert#/Type Cert /Type Cert#/Type <br /> Travel <br /> Technician Start Stop Total Travel Mileage <br /> Johnny Souza 3/5/2014 7:00:00 AM 3/5/2014 9:30:00 AM 2.50000 145.00000 <br /> � l <br /> 711 <br /> i 1 / <br /> Technician Customer <br /> Date <br /> SignatureL Signaturek _�' <br /> f" <br /> Ge/r <br /> RECEIVED <br /> JUN 16 2014 <br /> ENVIRONMENTAL HLTH <br /> PERMIT/SERVICES <br />
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