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COMPLIANCE INFO_2020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0521942
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
7/10/2020 6:06:39 PM
Creation date
7/10/2020 2:23:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0521942
PE
2371
FACILITY_ID
FA0014921
FACILITY_NAME
RANCHO SAN MIGUEL MARKET*
STREET_NUMBER
1427
Direction
S
STREET_NAME
AIRPORT
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
16902016
CURRENT_STATUS
01
SITE_LOCATION
1427 S AIRPORT WAY
P_LOCATION
02
P_DISTRICT
001
QC Status
Approved
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SJGOV\gmartinez
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EHD - Public
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OBLEMaIntenance Inc. Specializing in Petroleum Construction and Maintenance <br /> 3224 Regional Parkway• Santa Rosa, CA 95403 (707)545-5522 <br /> Nu Cenral Contractor#372844 <br /> 1 <br /> /C3/g22 <br /> BW Tb: Service Station Systems,Inc, Invoice# 907657 <br /> 680 Ouinn Averme Job# 907657 <br /> San Jose,CA,95112 P.O.# +—�W <br /> Release# <br /> femnce# <br /> Attention:Kelley M. Phone No.(408)971-2445 �� November 19 2019 <br /> JOB LOCATION:Food 4 Les GAS]427,1409 S Airport Way,Stockton.CA <br /> DESCRIP'T'ION OF WORK PERRORbIED: <br /> Received 11/11/19:Dispenser W,regular,Impact Volvo leaking fuel.Responded 11/13119:Check Disp.3/4,87 product weeping.Found <br /> shear valve was operational,found nipple and union seeping.Removed old nipple and union and Installed new nipple and union. <br /> p fuel,piping is now product tight <br /> Quantity MATERIALS _ Extended Price <br /> 1 UNION I1/21N 53.53 <br /> 1 - NIPPLES 31N X 1 1/21N 9.22 <br /> 1 T'E WN TAPE 9.11 <br /> 1 PIPE DOPE 32.91 <br /> 1 DANGER/CAUTION TAPE 6.50 <br /> 1 ABSORBENT PADS 7.95 <br /> 1 HEALTH AND SAFETY SUPPLIES 8.50 <br /> OTHER CHARGES <br /> MILEAGE COST 30.40 <br /> LABOR <br /> Date Description Hours Rate Amount <br /> 11/132019 12:30PM-3:45PW 2 TECHS/TONY M/TONY P 6.50 85.00 552.50 <br /> LABOR: 6.50 552.50 <br /> 11/13/2019 12:00PM-12:30PMY 2 TECH&TONY Ml TONY f 1.00 95.00 85.00 <br /> W13/2019/132019 3:45PM-4:OOPW 2 TECHS/TONY W TONY P 0.50 85.00 42.50 <br /> TRAVEL: 1.50 127.50 <br /> I <br /> 11/13!2019 Da''ly Totals: 8.00 680.00 <br /> i <br /> MATERIALS 127.72 <br /> Payment Terms: NET 30 i EQUIPMENT 0.00 <br /> Remit to: OTHER CHARGES 30.40 <br /> Able Maintenance LABOR 680.00 <br /> 3224 Regional ParkwaySUB TOTAL 838.12 <br /> Santa Rosa,CA 95403 - - ---- __ ^t' SALES TAX I L.50 <br /> TOTAL 849.62 <br /> Page 1 of 1 ! <br />
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