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INSTALL_2020
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2300 - Underground Storage Tank Program
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PR0545645
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INSTALL_2020
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Last modified
11/21/2022 11:44:03 AM
Creation date
8/3/2020 12:07:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
INSTALL
FileName_PostFix
2020
RECORD_ID
PR0545645
PE
2351
FACILITY_ID
FA0025876
FACILITY_NAME
7 ELEVEN INC #38877
STREET_NUMBER
1515
Direction
E
STREET_NAME
MAIN
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
15904026
CURRENT_STATUS
01
SITE_LOCATION
1515 E MAIN ST
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\kblackwell
Tags
EHD - Public
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TANK INSTALLATION CHECKLIST"' SITESKE�T (Ihdrwtespec�� Wrtk!nsta(atron) ADD�TfDNpLNOTESy � <br /> Note any variations and/or deviations from <br /> instruc[ions(and attach written authorizations): <br /> FS`Y '��% �y- - R F S3R i'�1F c'u ��� ����. \`� `cy Y'• <br /> CONTRACTOR TANK OWNER/REPRESENTATIVE <br /> I verify thatthis information is a true record of the installation of the tanks I verify thalthis information is a true record of the installation of the tanks <br /> listed here. listed here,and that I have received a copy of the Installation Manual <br /> and this Tank Installation Checklist. <br /> Name: iG 7 i Name: J'GGG6�V S <br /> Telephone: y Telephone: <br /> Email: , ,� G1�J / �� Email: <br /> Address: Address: <br /> /011 T T`G f <br /> Signature: Signature: <br /> `—; ate•� s _ �_.�_ 1t�io: _. <br /> TO INSTALLER:Aftertank installation,deliver the Installation Manualwith the completed Tank Installation Checklistto the tank owner.Retain a copy of <br /> each for your records. <br /> TO OWNER:After installation,retain the limited warranty,the Installation Manual and completed Tank Installation Checklistforfuture reference and to <br /> facilitate any warranty claim. <br /> ZCL XES* IMOG1119PP <br />
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