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COMPLIANCE INFO_2023
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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COUNTRY CLUB
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1403
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2300 - Underground Storage Tank Program
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PR0231995
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
12/17/2025 2:34:46 PM
Creation date
2/9/2023 9:37:09 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0231995
PE
2361 - UST FACILITY
FACILITY_ID
FA0006438
FACILITY_NAME
UNITED #5446
STREET_NUMBER
1403
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
12323246
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\kblackwell
Supplemental fields
Site Address
1403 W COUNTRY CLUB BLVD STOCKTON 95204
Tags
EHD - Public
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ARViAS I�INC. <br />EXCELLENCE • INTEGRITY* QUALITY <br />11 -;*—,4 D—M- I IDtZAAA • . • 10/26/2023 <br />1403 Country Club Blvd. <br />10395 <br />n CA 95204 USA - • • • <br />IC, <br />2378860 <br />•. <br />5446 <br />M1,.b!1:,..,lete? <br />Broken Bravo chain 7/8 <br />✓ Yesmplete <br />Email Support <br />RepairsPerformed: <br />Arrived on site to find dispenser #7/8 91 octane bravo chain broken. Removed old chain and placed new <br />one in. Tested new chain and tested great. <br />., <br />t <br />Description • <br />Qty <br />Chain and Clip 1 <br />❑X Steel Toe Boots © Safety Vest <br />❑ Hard Hat ❑ Hearing Protection <br />® <br />❑ <br />Safety Cones/Tape ® Gloves <br />Protective Clothes ❑ Fall Protection <br />❑ Hot Work Permit ❑ Lock Out /TagOut <br />❑ <br />Safety Glasses JHA # <br />nio Coffman <br />Terms: Site issues may not ays be y resolin one trip. Due to intermittent , <br />problems or defective equipment while the technician is on site and cannot <br />duplicate issue. It is the Sites/ Customers responsibility to snake sure the <br />• <br />• <br />, <br />information on the work order is correct before signing this form. <br />A finance charge of 1112% per month, which is an annual percentage rate of 18%, is <br />charged on all past due accounts. Freight prepaid by seller does not include anyj7r o coverage" <br />which is the responsibility of the buyer to purchase if needed. In the event of or legal <br />proceedings to enforce the collection ofsuch sums due herein, customer agrees reasonable <br />
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