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COMPLIANCE INFO_2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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REYNOLDS RANCH
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2300 - Underground Storage Tank Program
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PR0535432
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COMPLIANCE INFO_2019
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Last modified
9/17/2020 4:24:16 PM
Creation date
7/15/2020 9:26:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0535432
PE
2351
FACILITY_ID
FA0020431
FACILITY_NAME
COSTCO WHOLESALE #1091
STREET_NUMBER
2680
STREET_NAME
REYNOLDS RANCH
STREET_TYPE
PKWY
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
2680 REYNOLDS RANCH PKWY
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\gmartinez
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EHD - Public
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Elite IV Contractors <br /> Date: 12/18/2019 <br /> Date Work Completed 12/18/19 <br /> Site: Costco 2680 Reynolds Ranch Pwy, Lodi 95240 <br /> Scope of work: S 12 No Vac Alarin, replaced 87B product line Vac Sensor. (Like for <br /> Like Part) test—ok. <br /> Part—Veeder-Root 330020-463 sn194006 <br /> Tech- Chris Adams <br /> ICC Certification: UST Service Tech 8230218 exp 4/17/20 <br /> Veeder-Root B43531 exp 10/9/21 <br /> RSCLz71VSD <br /> 2019 <br /> ENVIRpNME <br /> -r ENTEALTH <br /> "FPAP <br /> Phn: 209.461.6337 Fax: 209.461.6342 1 2535 Wigwam Dr.Stockton, CA 95205 <br /> Email: carrie@eliteiv.com <br />
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