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COMPLIANCE INFO_2011-2018
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2300 - Underground Storage Tank Program
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PR0508452
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COMPLIANCE INFO_2011-2018
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Last modified
12/27/2023 4:04:02 PM
Creation date
6/23/2020 6:58:50 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2011-2018
RECORD_ID
PR0508452
PE
2361
FACILITY_ID
FA0007787
FACILITY_NAME
PACIFIC CAR WASH/MARKETPLACE INC
STREET_NUMBER
4405
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11024013
CURRENT_STATUS
01
SITE_LOCATION
4405 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0508452_4405 PACIFIC_2011-2018.tif
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EHD - Public
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ELITE IV CONTRACTORS 1* <br />2535 Wigwam Dr. State Lic. #1001331 <br />Stockton. CA 95205 <br />(209)461-6337 Fax(209)461-6342 <br />PO rr FAC* DATE <br />Work Order 0 <br />Ref: <br />JOB NAME <br />PUMP TEST HOSE N <br />PRICE <br />AMOUNT <br />TECH <br />SITE IN <br />JOB SITE <br />MONEY TOTAL <br />RATE <br />AMOUNT <br />TOTAL GALLONS <br />AM <br />PM <br />ORDERED BY <br />TOTALIZER BEFORE <br />TOTALIZER AFTER <br />DESCRIPTION OF WORK DONE <br />t <br />ENVIRONMENTAL HEALTH <br />. <br />I HEREBY ACKNOWLEDGE COMPLETION OF THE ABOVE DESCRIBED WORK <br />SIGNATURE—_ -- <br />MATERIAL AND LABOR RECORD <br />QTY <br />MATERIAL USED <br />PRICE <br />AMOUNT <br />TECH <br />SITE IN <br />SITE OUT <br />HRS <br />RATE <br />AMOUNT <br />AM <br />PM <br />AM <br />PM <br />AM <br />PM <br />AM <br />PM <br />AM <br />PM <br />AM <br />PM <br />AM <br />PM <br />AM <br />PM <br />AM <br />PM <br />AM <br />PM <br />TRAVEL TIME <br />TOTAL MIL AGE <br />_T <br />COMPLETED _YES -NO WARRAIN"M WORK --YES ---NO OT: _YES ----NO <br />GRAND TOTAL <br />wMTE - OFFICE COPY CANARY - FILE COPY PINK -- CUSTOMER COPY <br />
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