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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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PR0231111
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
3/23/2021 9:47:40 AM
Creation date
3/23/2021 9:44:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0231111
PE
2361
FACILITY_ID
FA0001659
FACILITY_NAME
QUIK STOP MARKET #039
STREET_NUMBER
2285
Direction
E
STREET_NAME
FREMONT
STREET_TYPE
ST
City
STOCKTON
Zip
95205
APN
141-214-03
CURRENT_STATUS
01
SITE_LOCATION
2285 E FREMONT ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\kblackwell
Tags
EHD - Public
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WALTON . <br /> ENGINEERING. INC. <br /> P.0. Box 1025 9163721888 PH <br /> 3900 Commerce Drive 9163731172 FAX <br /> West Sacramento,CA 95591-1025 CA Contractor's License#617238 <br /> Customer Job Location Work Order# 125248 <br /> Quik Stop Markets, Inc. Quik Stop Market#39 Z1 Scheduled Date: 10/3112019 <br /> 4567 Enterprise Street 2285 E. Fremont Street Scheduled Time: 9:00:OOAM <br /> Fremont, CA 94538 Stockton, CA 95205 Contact: Michael Karvelot <br /> Customer PO# : C-1-0001 <br /> Phone: 2094641038 Facility: W31020-039 <br /> Station#: 39 <br /> Contract# <br /> ark To Be Performed: Call type: Test- Secondary Containment <br /> Triennial Compliance Test <br /> Work Performed: <br /> 1013111 Completed and uploaded the JSA to the Walton work order. <br /> 1013111�Replaced the termination boot on the 87 secondary line due to it being torn. <br /> Performed secondary containment testing with passing results. <br /> Open problems: <br /> Parts Used: <br /> Qty Part# Mfg Mfg Part# New Serial# Desc Reason <br /> 1 09-13225 ICON SR3.5X2.40SA NIA Boot,Split Offset, 3.5 x 2.4 w1Air 4ormal Wear <br /> 1 309-19100 ICON IACFASTFUSE NIA Glue Kit, Blue Seal qormal Wear <br /> Date Technician Arrival Departure IDate Fechnician Arrival Departure <br /> 1013111° Jauregui Jr.;Juan J. 8:45 14:00 1013111 Olvera III; Henry S. 8:45 14:00 <br /> Store Stamp&Signature <br /> `1 <br /> Technician Sig ature ICustomer Signature <br /> r <br />
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