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COMPLIANCE INFO_2020
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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PR0231764
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
12/23/2020 8:31:49 AM
Creation date
6/9/2020 5:03:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0231764
PE
2361
FACILITY_ID
FA0002160
FACILITY_NAME
BlackHawk Petroleum Inc.
STREET_NUMBER
5611
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
08710052
CURRENT_STATUS
01
SITE_LOCATION
5611 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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Elite IV Contractors <br /> Date: 5/1/20 <br /> Date of Work: 5/1/20 P' if <br /> htu rLj <br /> 1� <br /> ' ' <br /> [A AY e 1 2029 <br /> Site: Delta 88 5611 E. Waterloo Rd. Stockton, CA 95215 <br /> ENVIRONMENTAL HEALTH <br /> Scope of Work: Replaced a diesel leak detector and relay. DEPARTMENT <br /> Relay: SN#5Z546N <br /> Leak Detector: Vaporless VMI 99LD2000 <br /> SN# 20011609 <br /> Tech: Chris Adams <br /> ICC: 8230218 exp 9/1/20 <br /> VMI Installer: 3483 exp 6/1/20 <br /> VMI LDT 890 Tester: 3484 exp 6/1/20 <br /> Red Jacket: B43531 exp 5/19/2068 <br /> Phn: 209.461.6337 Fax: 209.461.6342 2535 Wigwam Dr. Stockton, CA 95205 <br /> Email: service@eliteiv.com <br />
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