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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 /> 3909 Park Road,Suite D <br /> qVIRONMENTAL SERVICES Benicia,CA 94510 <br /> GROUP (877) 748-3040 <br /> Western Region <br /> DELIVERY DATE JOB#;(-.L <br /> 'HIPPER/CUSTOMER <br /> POINT OF CONTACT <br /> 1 <br /> AM Ili <br /> 11 J <br /> DDRESS PHONE# <br /> e15 ft: CiWWI <br /> 3TY,STATE,ZIP <br /> :51f1,C1jK1M$_N <br /> 'ARRIER/TRANSPORTER <br /> PHONE# <br /> ;ONSIGNEE/FACILITY POINT OF CONTACT <br /> 'INC <br /> DDRESS PHONE# <br /> 4,9144 3. Atl&r il i4'.bj <br /> -39 1 4 <br /> 3TY STATE,ZIP <br /> pecial Handling Instruction and Additional Information: <br /> cm j <br /> �uallv avqpoqlK <br /> lacards Provided YES—No_ Emergency Phone#(877) 748-3040 <br /> HIPPER's CERTIFICATION:i hereby declared that the contents of this consignment are fully and—r&ely described above by proper shipping name and are classified,packed, <br /> larked,and labeled,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 7 RE <br /> SIGNATU MONTH DAY YEAR <br /> Xy- <br /> ::ARRIERrrRANSPORTER)PRINT OR TYPE NAME SIGNATUR' <br /> MONIM <br /> DAY YFAA <br /> x <br /> ;ONSIGN, IUTY)PPINTO A TYPE NAME SIGNATUREYEM <br /> H <br /> 7' <br /> arm#PSC-2iA-RV 6/04' <br /> SHIPPER <br />
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