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COMPLIANCE INFO_2010-2011
Environmental Health - Public
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EHD Program Facility Records by Street Name
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BECKMAN
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2300 - Underground Storage Tank Program
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PR0231310
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COMPLIANCE INFO_2010-2011
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Last modified
8/25/2022 2:52:45 PM
Creation date
6/23/2020 6:46:10 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2010-2011
RECORD_ID
PR0231310
PE
2361
FACILITY_ID
FA0003773
FACILITY_NAME
VAN DE POL ENT INC/PACIFIC PRIDE
STREET_NUMBER
351
Direction
N
STREET_NAME
BECKMAN
STREET_TYPE
RD
City
LODI
Zip
95240
APN
04903015
CURRENT_STATUS
01
SITE_LOCATION
351 N BECKMAN RD
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231310_351 N BECKMAN_2010-2011.tif
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EHD - Public
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DAILY R(LIJAIR LOG <br /> i <br /> Address: <br /> Com r)anv.Na M* eNPA�AA Eov J <br /> INSTRUCTIONS: rn <br /> complete an entry for each defeciency that you entered am°X® on the Inspection Checklist. <br /> I Mair. I#-applicable,Maintain copies of receipts, or'other documentation, for parts and/or equipment used in he work <br /> orders shall include the name (printed) and signature of-the person responsible for performing the repairs. <br /> Name, Company, <br /> Date/Time Description of Repair or Remedy Address & Phone <br /> Date of Description of Defect List each component repaired,.replaced and/or <br /> Defect of Repair Number of Person Wh0 <br /> installed including the.make, model and serial number <br /> Performed Repair <br /> CD <br /> L-1 VIA VD <br /> --Cl L \Iictiv%,d/ VAn C& W -PQVK' <br /> -V DV- <br /> C <br /> Qew-tove&A 4\y\c\ LO <br /> 7-tPrSfV <br /> or'� <br />
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