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INSTALL_2021
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2300 - Underground Storage Tank Program
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PR0546181
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INSTALL_2021
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Last modified
4/17/2023 9:15:47 AM
Creation date
10/30/2020 4:28:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
INSTALL
FileName_PostFix
2021
RECORD_ID
PR0546181
PE
2351
FACILITY_ID
FA0026131
FACILITY_NAME
7-ELEVEN INC. #38616
STREET_NUMBER
601
Direction
W
STREET_NAME
CAROLYN WESTON
STREET_TYPE
BLVD
City
STOCKTON
Zip
95206
APN
16422019
CURRENT_STATUS
01
SITE_LOCATION
601 W CAROLYN WESTON BLVD
P_LOCATION
01
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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P <br /> TANK INSTALLATION CHECKLIST <br /> i <br /> SIlI~SKETCH 1ndlcafe s ec�f106 tank Installatlan:) AiJIATIONAL MOTES <br /> Note any variations and/or deviations from <br /> 11 instructions(and attach written authorizations)- <br /> f <br /> i <br /> } 11ERlFYt IG SI f�ATURE§ <br /> CONTRACTOR TANK OWNERIREPRIESENTATIVE <br /> I verify that this information is a true record of the installation of the tanks I verify that this informaition is a true record of the installation of the tanks <br /> listed here. listed here,and tha(I have received a copy of the Installation Manual <br /> and this Tank Installation Checklist. _ <br /> Name: Name: 7') _s� rj, <br /> Telephone:(1-1-6 Telephone: 559/241-9182 _ <br /> Email:`= Email: jeremy.fredrichs@7-11.com <br /> Address: Address: <br /> Signature: Signature: <br /> Date: ` Date: 8/f7/22 <br /> TO INSTALLER:Afterlank installation,deIiverthe installation Manual with the completed Tank Installation Checklist to 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 Checklist for future reference and to <br /> facilitate any warranty claim. <br /> Z C L I XERXESO <br /> IMOG1119PP 39 <br />
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