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COMPLIANCE INFO_2020
Environmental Health - Public
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EHD Program Facility Records by Street Name
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FAIRMONT
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2300 - Underground Storage Tank Program
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PR0231331
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
3/4/2021 7:40:29 AM
Creation date
6/1/2020 11:51:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0231331
PE
2351
FACILITY_ID
FA0000513
FACILITY_NAME
LODI MEMORIAL HOSPITAL
STREET_NUMBER
975
Direction
S
STREET_NAME
FAIRMONT
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
03107039
CURRENT_STATUS
01
SITE_LOCATION
975 S FAIRMONT AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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i' <br /> ,—W CONTRACTORS Work Order <br /> ,35 Wigwar^Dr. State Lic.#1001331 <br /> Stockton,CA 95205 Ref: <br /> (209)461-6337 Fax(209)461-6342 <br /> Po.x FAC') DATE, A--bo- bU <br /> JOB NAME f� �f �� �J PUtviP TEST HOSE <br /> JOB SITE �7 MONEY TOTAL / <br /> TOTAL GALLONS <br /> ORDERED BY TOTALIZER BEFORE <br /> TOTALIZER AFTER <br /> DESCRIPTION OF WORK DONE <br /> —4, <br /> e <br /> G �� -1 Irl/ ���� '� �✓ ���L— /(�t�v <1J "� <br /> J ) Q / G' / <br /> i '/ .ter vs..t✓ -� ��-,dt Vc, C, �- .�- .s7/ '— J <br /> s1 ( ��' tip ' �-�„✓ f✓� s <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 VERS RATE AMOUNT <br /> qc PM /Aju PM <br /> r ` A <br /> •{� c'r��> PM <br /> AM <br /> PM PNI <br /> AM AM <br /> PM PM <br /> AA1 AM <br /> PM PM <br /> TRAVELT,ME <br /> � J <br /> TOTAL MILAGE <br /> /�..vn nT: YES ��`NO GRAN�TOTAL <br />
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