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COMPLIANCE INFO_2006-2011
Environmental Health - Public
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EHD Program Facility Records by Street Name
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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_2006-2011
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Last modified
2/22/2023 1:52:51 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
2006-2011
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_2006-2011.tif
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EHD - Public
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G entral Petroleum Maintenance <br />I J <br />Pae <br />of Ticket <br />176 Wyoming Street - PO Box 211 - Pleasanton94566-0021 <br />10 <br />t <br />Technician: <br />Amount <br />License 491948 Phone # (925) 462-406 <br />Rate <br />Amount <br />Service <br />�a <br />t ° l <br />$` <br />Location: <br />Date: <br />oJ-) r k/ <br />i r <br />Job #: <br />nit <br />210de <br />arial JCPM Equipment Used: Amount <br />Bill To: <br />Phone # <br />Auth By: <br />P—hinmMarvires Renuested: <br />Work Performed. <br />o <br />14 <br />e <br />Fault code cause Code �]R.medx Code <br />Materials Used: <br />Total Equipment Use: <br />artl5escriptwn <br />riaNew <br />Serial <br />Labor - One Hour Minimum <br />Technician: <br />Amount <br />Tech # Arrive Depart tabor Travel Total <br />Rate <br />Amount <br />Service <br />t ° l <br />A�y <br />f <br />Call: Closed I Updated <br />Software Version: <br />Equipment Worked On: <br />Date: <br />Time: With: Total Labor: <br />Mileage: <br />nit <br />210de <br />arial JCPM Equipment Used: Amount <br />Fault code cause Code �]R.medx Code <br />Materials Used: <br />Total Equipment Use: <br />artl5escriptwn <br />riaNew <br />Serial <br />Qty <br />m rice <br />Amount <br />t ° l <br />a� ' � r'r*'. i)'t v t` 7 <br />k <br />Terms Sornauntas one se call three not resolve all specdlc problems due to detective oquipmerR of ademhment <br />problems not present or which cannon be duplicated when our Service Technician is at your premises. Santa tiqulpmaat <br />requires removal on ane trip, in-house repair, and another trip for raaistallin— 6harpea will be made lot each service <br />call at ram in affect at IiM of service. We, therefore, camrol warrant solutions to all problatna on one service call. Tins <br />-Arrived" end it— "Departed" recorded by our Service TacMicisn win be the guidelines used in rxoW.0— o9 repair and <br />charges. is is the customer's responsibilty to audit and verify bins, recorded ontheinvoice by mit Service Technician wines <br />he or she hs on your promises. We win rot.iter any Mie charges billed en�ri wYr Service Technician has last your premises. <br />I uridwtit adi accept ali terms A ctuailt ins as outlirod an w rkader. <br />X <br />Sub -Total Materials <br />Markup-, ' <br />Total Materials <br />Tax: <br />Labor: <br />Mileage: <br />Equipment Use: <br />Other: <br />TOTAL INVOICE: <br />as <br />Check <br />Credit On Act. <br />Card <br />
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