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COMPLIANCE INFO_FILE 14
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231945
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COMPLIANCE INFO_FILE 14
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Last modified
12/22/2022 2:35:55 PM
Creation date
6/3/2020 9:55:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
FILE 14
RECORD_ID
PR0231945
PE
2361
FACILITY_ID
FA0003934
FACILITY_NAME
Lawrence Livermore National Lab - Site 300
STREET_NUMBER
15999
Direction
W
STREET_NAME
CORRAL HOLLOW
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
15999 W CORRAL HOLLOW RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231945_15999 W CORRAL HOLLOW_FILE 14.tif
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EHD - Public
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Thornton Environmental Construction, Inc,; PEI <br /> UST Monitoring System Installation & Service Specialist <br /> Construction - Upgrades - Certifications <br /> P.O. Box 360833 - Milpitas, CA 95036-0833 <br /> Phone (408) 946-1015 - (209) 834-0792 - Fax(209) 834-0795 <br /> Installations,Electrical,24 Hour Service WORK ORDER <br /> Contract Maintenance&Calibration Services Contractor's License#724513 <br /> Contract No./P.O No. Page No. T&S Job No. <br /> /= 6483 <br /> BillTo Job Site ) / "'}/'� <br /> a <br /> Street Address Street Address&Cross Street <br /> ,� 6xr OVA <br /> City,State&Zip Code City,State&Zip Code <br /> eg <br /> Contact Phone No. Job Site Phone NIV <br /> 126;Z6 L2gjE2l f�e;1 <br /> Equipment Manufacturer Manufacturers Model Number <br /> wAAL e, r 061 <br /> Serial Number Products Tanks Sensors <br /> Work Requested - <br /> Description of Materials and Work Performcd <br /> Aff"eoi ._.!,Z"13'z2c2c .S CD 6 <br /> 4"72V roel 0,4 z5` <br /> l " per/= Jo TTy t3Qz / t Df-�E AJI"TDr�t, <br /> Recommedations <br /> , <br /> Technician Customer acknowledges receipt of a copy of this work order. <br /> X ,....�.- Da a x Date <br /> Job Status mplete Q In-Progress Q Order Pans Q Submit bid for additional work O Certification <br /> Q Time&Mateilfil Q Maintenance Contract Q Start up O Other <br /> Technician to,^ RegJTravel OTfrravel Miles Arrived/Departed <br /> White-Office Yellow-Billing Pink-Customer Goldenrod-Site Copy <br />
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