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COMPLIANCE INFO_2019
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0527629
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COMPLIANCE INFO_2019
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Last modified
9/18/2020 10:36:34 AM
Creation date
9/10/2020 12:47:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0527629
PE
2351
FACILITY_ID
FA0018721
FACILITY_NAME
Costco Wholesale #1031
STREET_NUMBER
2440
STREET_NAME
DANIELS
STREET_TYPE
ST
City
MANTECA
Zip
95337
CURRENT_STATUS
01
SITE_LOCATION
2440 DANIELS ST
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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SJGOV\gmartinez
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EHD - Public
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Certification of Campletion <br /> This is to certify that <br /> Gonzalo Gomez <br /> Wayne Perry Inc . <br /> has been Factory Trained and Certified in the Installation of <br /> Products made by Diversified Products Manufacturing Inc. <br /> '_;Split Repair <br /> 1/9/ 18 1/9/21 <br /> Date issued Date Expires <br /> RM A&Ih�ual QO-w <br /> www .dpm-co .com Authorized Signature <br /> a <br />
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