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COMPLIANCE INFO 2004 - 2011
Environmental Health - Public
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EHD Program Facility Records by Street Name
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EMBARCADERO
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6649
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2300 - Underground Storage Tank Program
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PR0231098
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COMPLIANCE INFO 2004 - 2011
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Last modified
7/25/2019 8:52:05 AM
Creation date
7/24/2019 4:44:08 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2004 - 2011
RECORD_ID
PR0231098
PE
2361
FACILITY_ID
FA0003830
FACILITY_NAME
VILLAGE WEST MARINA
STREET_NUMBER
6649
STREET_NAME
EMBARCADERO
STREET_TYPE
DR
City
STOCKTON
Zip
95219
APN
09815006
CURRENT_STATUS
01
SITE_LOCATION
6649 EMBARCADERO DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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KBlackwell
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EHD - Public
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.'LITE IV CONTRACTORS, INC. JOB WORK ORDER & <br /> 2535 Wigwam Dr. State Lic-#660076 <br /> Stockton,CA 95205 TIME CARD Ref. # <br /> (209)461-6337 Fax(209)461-6342 _ (� ! ` <br /> PHONE <br /> P.O. DATE�' •�, TIME TAKEN BY <br /> a k ��"'!�' FAC M # <br /> JOB NAME }: - r r. PUMP TEST HOSE# <br /> JOB SITE .` / 1.1 MONEY TOTAL <br /> TOTAL GALLONS <br /> TOTALIZER BEFO <br /> ORDEREDRE _ A+ i <br /> L f f <br /> TOTALIZER AFTER 1 <br /> WORK ORDERED1 ~'Y <br /> c <br /> a 00 <br /> Es <br /> DESCRIPTION OF WORK DONE <br /> ; asp fes: <br /> ,+3. C,;/fl <br /> I HEREBY ACKNOWLEDGE COMPLETION OF THE ABOVE DESCRIBED WORK C <br /> SIGNATURE <br /> MATERIAL AND LABOR RECORD <br /> QTY MATERIAL USED PRICE AMOUNT QTY MATERIAL USED PRICE AMOUNT <br /> TOTALMATERIAL <br /> TAX <br /> 4 i-- <br /> r <br /> TOTAL <br /> TECH SITE IN SITE OUT HRS RATE AMOUNT <br /> - AM AM -- <br /> i_.... P1I 1:PAf <br /> AM <br /> P17 PM <br /> M 17 <br /> AA ..\ <br /> PM , _ _PM .,.# <br /> AM AM <br /> PM PM <br /> AM AM <br /> W14,NvkkAfA <br /> r s <br />
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