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SITE HISTORY_FILE 1
Environmental Health - Public
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2900 - Site Mitigation Program
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PR0504943
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SITE HISTORY_FILE 1
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Last modified
6/17/2020 4:03:28 PM
Creation date
6/17/2020 3:13:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE HISTORY
FileName_PostFix
FILE 1
RECORD_ID
PR0504943
PE
2951
FACILITY_ID
FA0004032
FACILITY_NAME
AMERICAN MOULDING & MILLWORK (FRMR)
STREET_NUMBER
2801
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95204
APN
11709001
CURRENT_STATUS
02
SITE_LOCATION
2801 WEST LN
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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T.ANKNOLOGY -- UNDERGROUND ;K DETECTION SYSTEM - lV6 . [ Paye 11 <br /> AMERICAN MOLDING "FORK 1,M—L. " HOd 9b-18-164910 - "Feb G2, 1995, 11:46 <br /> II j <br /> Customer: Site #: Sarvi" (Irder#: <br /> I <br /> AMERICAN MOLDING WORK MILL 164910' <br /> Address: City/St: Zip: <br /> 2801 WEST LANE STOCKTON , CA 95208 <br /> 7._.............IL.. ::::: <br /> To insure that your station is fully operational Prior to Our test-unit <br /> departing from your location , PLEASE WITNESS the following. ites : � <br /> I � <br /> 1 ) Each dispenser operates , and all out - of Service - bags & paad--l�Doks were <br /> removed . <br /> 2 ) There are NO LEAKS in the sub-Pump area , even when the pumps are running . ! <br /> All Leak Detectorshave been Quality A surance sealed with a' lead seal . <br /> Documentation, PRODUCT NAME THREADS VISABLE ON LEAK DETECTOR . i <br /> #1 ..........._...........' <br /> #2 �1 <br /> 1 <br /> 43 <br /> I r <br /> #4 <br /> i <br /> i ! <br /> #6 <br /> #7 <br /> _ 1 <br /> 3 ) All debris , safety-canes , and magnetic signs have been remov d from the <br /> work area . 1 <br /> 4 ) All tanks and dispensers were restored to their original state . <br /> i <br /> The Location Representative agrees that the above items were wiiitnessed and <br /> completed fallowing the completion of Tank and/or Line Testing . � <br /> f <br /> Location Representative's Name: Loc. Pep. Signature, ! Date: <br /> r <br /> Unit ?Manager Name: Unit Hgr. Signature: <br /> DEAN LUKEHART <br /> 033 <br /> I � <br />: <br />
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