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COMPLIANCE INFO_2022
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2300 - Underground Storage Tank Program
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PR0508452
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
6/16/2022 10:37:51 AM
Creation date
3/3/2022 9:53:07 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0508452
PE
2361
FACILITY_ID
FA0007787
FACILITY_NAME
7-ELEVEN INC #41341
STREET_NUMBER
4405
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11024013
CURRENT_STATUS
01
SITE_LOCATION
4405 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\kblackwell
Tags
EHD - Public
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WAL'TON — <br />FNGINEERING, INC. <br />P. 0 Box 1025 <br />3900 Commerce Drive <br />West Sacramento, CA 95691-1025 <br />9163721888 PH <br />9163731172 FAX <br />CA Contractor's License # 617238 <br />Customer <br />Job Location <br />Work Order # <br />143841 <br />Vixxo <br />7 -Eleven #41341 <br />Scheduled Date: <br />6/30/2021 <br />7000 E Shea Blvd, Suite H1970 <br />4405 Pacific Ave <br />Scheduled Time: <br />2:30:OOPM <br />Scottsdale, AZ 85254-6137 <br />Stockton, CA 95207 <br />Contact: <br />Customer PO# : <br />1-4945022622 <br />Phone: <br />Facility: <br />W31155-134 <br />Station # : <br />41341 <br />Contract # <br />I Dispenser - #12 Remove liquid from UDC and clean debris I <br />Work Performed: 11 <br />6130121 Performed job safety analysis and uploaded JSAto work order. <br />6130121 Arrived on site to removed liquid from UDC112. <br />Upon arrival opened up dispenser 112 and found liquid in the UDC <br />Removed all liquid from the UDC 112. <br />Placed the liquid in the sites LHWD provided by walton eng. <br />Labeled LHWD with proper tag and placed drum in safe location. <br />Left copy of paperwork in sites compliance box. <br />Parts Used: <br />Qty I Part # Mfg Mfg Part # New Serial # Desc Reason <br />1 309-51011 RES1 I DRUM, 55 GAL., D Drum, 55 Gal. DOT, UN1A2, Open Top <br />Date <br />Technician <br />Arrival <br />Departure <br />Date <br />Dchnician <br />Arrival <br />Departure <br />6130121 <br />Sanchez; Gabriel <br />1430 <br />1530 <br />-Technician Signature <br />Customer Signature <br />Store Stamp & Signature <br />
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