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COMPLIANCE INFO_2024
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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PR0518624
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COMPLIANCE INFO_2024
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Entry Properties
Last modified
10/18/2024 2:22:06 PM
Creation date
3/4/2024 4:34:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR0518624
PE
2371 - UST FACILITY - 1702 COMPLIANT
FACILITY_ID
FA0024496
FACILITY_NAME
Costco Wholesale #38 (Gas Station)
STREET_NUMBER
1630
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
LN
City
Stockton
Zip
95210
APN
09428011
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\lsauers1
Supplemental fields
Site Address
1630 E Hammer LN Stockton 95210
Tags
EHD - Public
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V�tca Rn , <br /> s>,ne Perry Inc.Maintenance Division I � <br /> A,n plain <br /> Ave.,Suite 5 8281 Commonwealth Ave NCAA, <br /> '1 Q ento.CA 95838 Buena Part;,CA 90621 Job Tic <br /> ket# <br /> ate 768 N.Twin Oaks Vdley Rd 14114704 <br /> 4154/04 <br /> Ae,�o /ash San Mnw.CA 92069 Call 11): <br /> r <br /> 3 fed Fueling Service Station Maintenance Record pate: <br /> 74i <br /> 2 <br /> 3 � <br /> Customer N OFF []AF JObo: <br /> b#: <br /> 13/7 Contact Contact Name: Costco <br /> l3 Swtion Address: 1616 E Hammer lane Job#N0fWA/0R: <br /> City/Zip: Stockton 95210 Facility#: 38 <br /> 3i <br /> �zz <br /> z <br /> pescription of Work Performed: <br /> sit LS Low Li uid. <br /> 7i2Z I' <br /> pdditiv ydro. <br /> IN <br /> sensor reseryor is full sensor is submer ed. <br /> Removed sensor and inspected cleaned. <br /> Tri me r upside clown and alarm cleared <br /> Relurend sensor to location and alarm did not return. <br /> pos�debris/obs truction or float got stuck <br /> No alarm on departure. <br /> is Job Complete? Yes®NoIf No <br /> ® ,Comments <br /> Testing Performed? Yes❑No® Hose# 1-24 25-36 Other GPM A/L-Vit.Results <br /> Hose# GPM A/L-WL Results <br /> Hose# GPM A/L,V/L Results <br /> Hose# GPM A/L-V/L Results __- <br /> Hose# GPM Alt:V/L Results <br /> Personnel Time In Time Out Rate Hours Total <br /> S 0.00 <br /> Labor 6:15 AM 7:15 AM 00 S 0.00 <br /> Zack McLaughlin S 0.00 <br /> Part# Part Description Warranty DOA Vendor t Unit Price Total <br /> 5 0.00 <br /> S 0.00 <br /> S 0.00 <br /> S 0.00 <br /> S 0.00 <br /> $ 0.00 <br /> I � <br /> AuthorizeIdSignature:p <br /> Date: _LS— 13 Labor Subtotal <br /> S 0.00 <br /> Travel Subtotal <br /> Dealer Refused to Sign❑ Co-Op❑ Third Party[] <br /> Material Subtotal $ 0.00 <br /> GRAND TOTAL <br /> S0.00 <br /> Attach L T <br />
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