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COMPLIANCE INFO_2015-2018
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231331
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COMPLIANCE INFO_2015-2018
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Last modified
6/20/2023 2:14:17 PM
Creation date
6/3/2020 9:44:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2015-2018
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
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2351_PR0231331_975 S FAIRMONT_2015-2018.tif
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EHD - Public
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r✓ CONTRACTORS Work Or <br /> .rgwam Dr. State Lic.#1001331 RE <br /> CENED <br /> -* kWn,CA 95205 <br /> I '(209)461-&137 Fax(209)461-6342 �jr)\l/ ` 9 2018 Ref: <br /> Icy . <br /> P.O.0 FACO DATE i/� 'j� <br /> E)NNAF FA <br /> JOB NAME �„ PUMP TEST HOSE If n C ^�y ENT <br /> JOB SITE MONEY TOTAL AJC Ye <br /> F,4mv*or <br /> TOTAL GALLONS <br /> ORDERED BY TOTALIZER BEFORE <br /> TOTALIZER AFTER <br /> DESCRIPTION OF WORK DON <br /> o,A,) -ms i35c2 /A-,- tojgt- AZ <br /> a3 IS-4 K)'o UR29r:4) Wgim -q:awr <br /> I HEREBY ACKNOWLEDGE COMPLETION OF THE ABOVE DESCRIBED WORK <br /> SIGNATURE <br /> MATERIAL AND LABOR1�k <br /> QTY MATERIAL USED PRICE AMOUNT TECH SITE IN SITE OUT HRS RATE AMOUNT <br /> AM <br /> s V 'All /�7 PM �J J�PM `i <br /> AM <br /> s , I too PM 19 <br /> L� <br /> IPM AM° PM PM <br /> AM AM <br /> PM PM <br /> AM AM <br /> PM PM <br /> TRAVEL TIME 4� J <br /> TOTAL MH AGE <br /> CO.MI'LETED�`^' _-NO WARRANTY WORK_YES —V�140 OT:_YES f `'YO GRAND TOTAL <br /> WHITE-OFFICE COPY CANARY-FILE COPY PINK-CUSTOMEA COPY <br />
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