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COMPLIANCE INFO_2013-2018
Environmental Health - Public
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EHD Program Facility Records by Street Name
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JACKSON
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2501
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2300 - Underground Storage Tank Program
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PR0231488
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COMPLIANCE INFO_2013-2018
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Last modified
8/12/2021 12:06:22 PM
Creation date
6/23/2020 6:49:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013-2018
RECORD_ID
PR0231488
PE
2361
FACILITY_ID
FA0003910
FACILITY_NAME
H&M - BW #98
STREET_NUMBER
2501
STREET_NAME
JACKSON
STREET_TYPE
AVE
City
ESCALON
Zip
95320
CURRENT_STATUS
01
SITE_LOCATION
2501 JACKSON AVE
P_LOCATION
06
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231488_2501 JACKSON_2013-2018.tif
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EHD - Public
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4 <br />F Fr <br />sip I <br />Bo tesfinz and <br />CERTIMCATION OF TECILNICUN RESPONSIBLE FOR CONDUCTING THIS TESTING <br />I hereby certot that ag the Informatioq evnigined In thl$ rePOrt 4 fte, aceutWe, and in full cam <br />pliance with legal requj�,emmjs, <br />Technician's Signa <br />State I ons do not cun-endy require testing to be perfbrmed by a qualified contractor. However, local requirements <br />may be more stringent. <br />Credentials',* 0 CSL8 Contractor X 1CC Smice Tech. 0 SWPCB Tar& Tester C otber <br />License Numb <br />11W <br />XDirectBury <br />0 Contained in Sump <br />'wag <br />MUMM17ta-M M, <br />KIM <br />Test Duration (Tjr — T). <br />es. old or <br />Criteria; <br />Bo tesfinz and <br />CERTIMCATION OF TECILNICUN RESPONSIBLE FOR CONDUCTING THIS TESTING <br />I hereby certot that ag the Informatioq evnigined In thl$ rePOrt 4 fte, aceutWe, and in full cam <br />pliance with legal requj�,emmjs, <br />Technician's Signa <br />State I ons do not cun-endy require testing to be perfbrmed by a qualified contractor. However, local requirements <br />may be more stringent. <br />
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