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a. <br /> acility/Site — <br /> RCO 02186 ID <br /> 212 N CALIFORNIA ST 101$2141 <br /> TOCKTON,CA 95204 <br /> Submittal Status <br /> Submitted on 2/2/2018 by Christian Torres of BP West Coast Products LLC-Retail(Carson) <br /> Comments by submitter:ADDED INFO FOR INSTALLATION/MODIFICATION <br /> nstallation/Modification Project Description <br /> )ascription of Work Being Certified Work Authorized Under Permit(Number or Date) <br /> Yo Tank Installation or Replacement SR0074967 <br /> O Piping Installation or Replacement Description of Work Being Certified <br /> Yo Sump Installation or Replacement REPLACEMENT OF ELECTRICAL PENETRATION FITTING ON UDC 5/6 <br /> es Under Dispenser Containment Installation or Replacement <br /> O Project Type:Other <br /> Contractor Information <br /> ?dame of Contractor VOW!'er9-armed Installation/Modification Contractor's License Number Contractor's ICC Certification Number <br /> ETTLER-RYAN INC 220793 8228369 <br /> Applicant Certification <br /> Certifier's Name Certifier's Title Phone Date Certified Certifier's Relationship to Tank Owner <br /> Name of Certifier's Employer <br /> Printed on 2/2/2018 9:56 AM <br />