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COMPLIANCE INFO_1986-2002
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231438
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COMPLIANCE INFO_1986-2002
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Last modified
12/20/2023 2:03:30 PM
Creation date
6/3/2020 9:49:02 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1986-2002
RECORD_ID
PR0231438
PE
2361
FACILITY_ID
FA0003716
FACILITY_NAME
SUPER STOP GAS & LIQUOR*
STREET_NUMBER
290
Direction
N
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
22309101
CURRENT_STATUS
01
SITE_LOCATION
290 N MAIN ST STE C
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231438_290 N MAIN_1986-2002.tif
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EHD - Public
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I <br />CASTLE ANALYTICAL LABORATORY <br />Location: 2333 Shuttle Drive, Bldg 908/909, Atwater, CA 95301 <br />Mailing Address!2433 Shuttle Drive, <br />Certificate No. 2079 <br />Atwater, CA 95301 <br />Phone: (209(''384-2930 - Fax: (2091 384-1507 <br />Customer; <br />Address; <br />REQUESTED ANALYSES <br />City/State/ZIP: ` ` <br />Lav <br />r <br />Phone / FAX: <br />b <br />F- <br />a <br />. <br />Pro(# / P.O: #: —Q/ Q% <br />Report <br />W <br />_& <br />=3 <br />a <br />a <br />m <br />UJ <br />N <br />W <br />Attention: <br />a <br />Sampler Signature: <br />$N <br />Printed: <br />m <br />U <br />N <br />Lab ID# SAMPLE ID DATE TIME <br />DESCRIPTION/LOCATION <br />3 0 <br />Na <br />L <br />; <br />by: <br />: <br />by: <br />CHAIN OF CUSTODY <br />PAGE OF <br />Method of Shipment: <br />cc <br />W <br />Z Notes: <br />0 <br />0 <br />LL <br />0 <br />c: <br />W <br />a - <br />OBSERVATIO <br />IL <br />W <br />e _ the laboratory <br />Note: All special requests (e.g. quick <br />turn times) must be cleared through <br />4authorized laboratory personnel. <br />RESULTS DUE: <br />j VERBAL 1, j wRiTTEN <br />
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