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COMPLIANCE INFO_2005-2010
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0232397
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COMPLIANCE INFO_2005-2010
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Last modified
11/14/2023 1:36:01 PM
Creation date
6/3/2020 9:56:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2005-2010
RECORD_ID
PR0232397
PE
2361
FACILITY_ID
FA0003978
FACILITY_NAME
KAISER FOUNDATION - MANTECA
STREET_NUMBER
1777
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
20018034
CURRENT_STATUS
01
SITE_LOCATION
1777 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0232397_1777 W YOSEMITE_2005-2010.tif
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EHD - Public
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OLOGY CERTIFICATE OF TESTI <br />® /*8 CREEK, BUILDING 200 AUSTIN, TEXAS <br />TELEPHONE (512) 451-6334 FAX (512) 459-1459 <br />PURPOSE: COMPLIANCE TEST RESULT SUMMARY REPORT WORK ORDER NUMBER: 2239575 <br />TEST DATE: 11/18/05 CUSTOMER PO: <br />CLIENT: PETRO-ANALYTICAL SITE: KAISER MANTECA <br />P.O. BOX 2301 1777 W YOSEMITE AVE <br />ORINDA, CA 94653 MANTECA, CA 95337 <br />Bud McQuaig JAMES BRAKKEE <br />(510)253-0591 (209)825-3460 <br />1 ISTEEL 1PRESSURE IP <br />ine Leak <br />ne Leak <br />For owner detailed report information, visit www.tanknology.com and select On -Line Reports -WRAP, or contact your local Tanknology office. <br />Tester Name: RHOME DESBIENS Technician Certification Number: 10042 <br />Tester Signature: Date Signed: �� a <br />I declare under penalty of perjury t1li t I am a licensed tank tester in the State of California and that the information contained in this report <br />is true and correct to the best of my knowledge. <br />
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