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COMPLIANCE INFO_2004-2005
Environmental Health - Public
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EHD Program Facility Records by Street Name
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C
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COUNTRY CLUB
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2575
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2300 - Underground Storage Tank Program
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PR0231070
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COMPLIANCE INFO_2004-2005
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Last modified
1/30/2023 2:30:02 PM
Creation date
6/3/2020 9:43:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2004-2005
RECORD_ID
PR0231070
PE
2351
FACILITY_ID
FA0006439
FACILITY_NAME
COUNTRY CLUB MOBIL CIRCLE K
STREET_NUMBER
2575
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
CURRENT_STATUS
01
SITE_LOCATION
2575 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2351_PR0231070_2575 COUNTRY CLUB_2004-2005.tif
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EHD - Public
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BILL OF LADING <br /> 7-1 3909 Park Road,Suite D <br /> NVIRONMENTAL SERVICES Benicia, CA 94510 <br /> GROUP (877)748-3040 <br /> Western Region <br /> DELIVERY DATE JOB iKA <br /> ;HIPPER/CUSTOMER POINT OF CONTACT <br /> If L7 <br /> 10D, JAN KAZI11 TN* <br /> kDDRESS PHONE# <br /> "74 <br /> 28.1 1 <br /> 31TY,STATE,ZIP <br /> ��MXICMW CA 9S-04 <br /> 'ARRIER/TRANSPORTER <br /> PHONE# <br /> RA <br /> ,ONSIGNEE FACILITY POINT OF CONTACT <br /> ODRESS PHONE# <br /> :IT(,STATE,ZIP <br /> IgIT'i-t <br /> 3 <br /> special Handling Instruction and Additional Information: <br /> dl 9CITUIX-of - ifAsm 'mllmin "sol.1-- An <br /> (Na-1 111-4-411, 0-151 FrAVOR"'D AC2,19PTARX !0�14 <br /> 'lacards Provided YES NO Emergency Phone#(STn 748-3040 <br /> ;NIPPER'S CERTIFICATION:I hereby declared that the contents of this consignment are fully and accurately described above by proper shipping name and are classified,packed, <br /> narked,and Libeled,and are in all respects in proper condition for transport by highway,vessel,and rail according to applicable international and national government regulations. <br /> SHIPPER)PRINT OR TYPE NAME- IGNATURE <br /> MONTH DAY YEAR <br /> CARRIER/TRANSPORTER)PRINT OR TYPE NAME] SIC;NATURt '7 MONTH DAY. YEAR <br /> CONISIG44EEIFFACIUTV PRINT OR TYPE NAlor: '$IGNATV�E MONTH DAY YEAR <br /> ,{ <br /> ,mm#PSG-`A-RV6104 <br /> SHIPPER <br />
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