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COMPLIANCE INFO_2004-2007
Environmental Health - Public
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EHD Program Facility Records by Street Name
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99 (STATE ROUTE 99)
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4943
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2300 - Underground Storage Tank Program
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PR0506488
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COMPLIANCE INFO_2004-2007
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Last modified
11/19/2024 1:51:12 PM
Creation date
11/5/2018 8:19:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2004-2007
RECORD_ID
PR0506488
PE
2361
FACILITY_ID
FA0007458
FACILITY_NAME
7-ELEVEN INC #32190
STREET_NUMBER
4943
Direction
S
STREET_NAME
STATE ROUTE 99
City
STOCKTON
Zip
95215
CURRENT_STATUS
01
SITE_LOCATION
4943 S HWY 99
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\N\HWY 99\4943\PR0506488\COMPLIANCE INFO 2004-2007.PDF
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EHD - Public
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6-26-06; 9:50AM;Secremento EMC ;916 9252816 x 2/ _ <br /> SACRAMENTO EQUIPMENT MAINTENANCECOMPANY,INC. • (916-925-2716X916-925.2816 fax) <br /> 2533 Connie Drive CA Contractors'License#502377 <br /> Sacramento,CA 95815-2809 Federal ID#6"110167 <br /> Customer Job Location coo#119_19-1 Work Order# 119309 <br /> 7-Eleven,Tue. 7-Eleven A 321901/Chevron#301607 Date Received: <br /> %Jeff Simonson 4943 South State Routc 99 @ Arch Road 05-12-05 1130 <br /> 2339 Cold Meadow Way#101 Stockton,CA 95602 Contact: Reala($7/11 <br /> Gold River. CA 95670 209-939-0679 Customer PO# 0505122341 <br /> 2235132190130 607 <br /> 800-828-0711 Station# <br /> o not remove: Vertlone u y evron extended con ct(call RAN tsurport) a ec ve <br /> Work to be Performed: <br /> PA Thursday-#516 these valve emergency fuel In dispenser pan;See blap ectlon He <br /> r <br /> Work Performed : C�!ts� p/jt if�'.."i E0 PW S/.• eQm trim mry aeon smw <br /> 6 O PIPl <br /> S 1 N Gv Dow S' <br /> E i1/O US -5,625A <br /> L - zzcva-s <br /> 9A9Zn.—OLV !�0 7d <br /> C4/ G%t? <br /> D l.CJ <br /> kz /2rrlreA <br /> :}�i�'r,?„L -111Iti t ,.,,J - '-'"'� v�`. "V:k;'tfi , se! <br /> '.Puts Used ik4f� s5{I' =k Ini1�1 ,`+kjlan f 411t��'ry,,. i -,.$'.S'.?€�"f.ua�`a .1 t +i . , 9an 'fie e <br /> Qty Pon# mt, 0.e N<'S.e C.'e Pants Com Smale EQM PeW Come Ammn <br /> � ssyaG - <br /> -�+�, Tech On SiteTlme - , S Stamp&Signature <br /> Initials <br /> Arrival Departure <br /> S 0 0 Chevron I , <br /> Office Use Only: (;P% 95215 <br /> Signature, //Print Narae: " <br /> Subject to terms and conditions on back hereof. <br /> Data Entered? Yes❑ Notice:A Finance Charge of 1 I/2% r month,which is an annual percentage rate of 180/6,will be <br /> 11MOB Yes charged on past due accounts over Mays. Contractors are required by law to be licensed and regulated <br /> W+MRe ort Needed? Yes El No O by the Contractor's State License Board. Any questions concerning a contmctormay be referred to the <br /> Monitor Report Nceded Yes❑ No ❑ RegB �rai ofthe.Boardwhoseaddressis: Contractor's State License Board-9835 Geothe-P.O.Box <br /> Job Complete Yes❑ No 26f100,Sacramento,CA 95826 <br /> White(Eme)// Blue(Eme Pending) // Green(customer copy) 1 c5 - .Z-- <br />
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