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COMPLIANCE INFO 2011 - 2017
Environmental Health - Public
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EHD Program Facility Records by Street Name
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CHEROKEE
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2300 - Underground Storage Tank Program
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PR0231841
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COMPLIANCE INFO 2011 - 2017
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Last modified
11/4/2022 1:58:23 PM
Creation date
7/12/2019 1:58:21 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2011 - 2017
RECORD_ID
PR0231841
PE
2361
FACILITY_ID
FA0000556
FACILITY_NAME
CHEROKEE LANE SERVICE STATION*
STREET_NUMBER
900
Direction
S
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04742007
CURRENT_STATUS
01
SITE_LOCATION
900 S CHEROKEE LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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CONTRACTORS bvvrK Order <br /> ,9Dr. State Lic.#1001331 <br /> p 05 <br /> .6337 Fax(209)461-6342 J Ref: <br /> FAC/ , DATE <br /> SOB NAME I PUMP TEST HOSE'# <br /> 0.- <br /> JOB SITE l MONEY TOTAL <br /> � RL <br /> TOTAL GALLONS <br /> �1 <br /> ORDERED BY TOTALIZER BEFORE <br /> TOTALIZER AFTER <br /> DESCRIPTION OF WORK DONE <br /> z6, <br /> Ids <br /> ENVIRONMENTAL HEALTH <br /> I HEREBY ACKNOWLEDGE COMPLETION OF THE ABOVE DESCRIBED WORK <br /> SIGNATURE —— - — <br /> MATERIAL AND LABOR RECORD <br /> QTY MATERIAL USED PRICE AMOUNT TECH SITE IN SITE OUT HRS RATE AMOUNT <br /> AM AM j <br /> 1J PM i� <br /> AM AM <br /> 17 J j PM PM <br /> AM AM <br /> PM PM <br /> AM AM <br /> PM PM <br /> AM AM <br /> PM PM <br /> TRAVEL TFMX <br /> TOTAL MILACE <br /> COMPLETED `/YES —NO WARRANTY WORK_YES —NO OT:_YES GRAND TOTAL <br /> WHITE—OFFICE COPY I CANARY—FILE COPY PINK—CUSTOMER COPY <br />
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