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COMPLIANCE INFO_2013-2016
Environmental Health - Public
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EHD Program Facility Records by Street Name
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THORNTON
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2300 - Underground Storage Tank Program
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PR0517272
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COMPLIANCE INFO_2013-2016
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Last modified
6/30/2020 10:41:44 AM
Creation date
6/23/2020 6:59:27 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2013-2016
RECORD_ID
PR0517272
PE
2361
FACILITY_ID
FA0012979
FACILITY_NAME
FLYING J TRAVEL PLAZA #617
STREET_NUMBER
15237
Direction
N
STREET_NAME
THORNTON
STREET_TYPE
Rd
City
Lodi
Zip
95242
APN
02519014
CURRENT_STATUS
01
SITE_LOCATION
15237 N Thornton Rd
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0517272_15237 N THORNTON_2013-2016.tif
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EHD - Public
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u <br />Service Report• •CROUP, <br />Work Order # <br />Customer. ' j fit. - ' > Address:} • ~ t"I <br />Customer W/O #: City: Lael i State: Zip: <br />Date: ! ' J'/ Phone: <br />Customer Contact: Weather: Temperature: <br />Yx� �' `� <br />Fuel Service Call: Facilities Service Call: Both:x <br />� - Job Completed <br />Reported Scope of Work: F -z -� rtn � �.t/ e ����C td,'1°� <br />Yes No <br />P I- V 1- Ln L2 : O 1z i W - e 1 9-1 11 ® t. A F I a.- v r -d •� • .�7 <br />c r t U -e-d <br />U° <br />NI r s7 c. 't' i r'e:� g C�%..a !r�'C'' ' P L f7 J f -Ls! <br />0 <br />f <br />0 <br />r C <br />r <br />k <br />M <br />e <br />d <br />Sub Contractors: <br />Part # Description Vendor I # Quantity Price Total <br />Customer supplied Yes I Fuel Filters Placed in Yea Yea .. r Yes <br />Tech Signature a Client Signature f �,, ' y "� Date: <br />Part # <br />Description <br />Quantity <br />Repair <br />Parts <br />Needed <br />Technician(s) <br />Arrival Departure Travel Labor <br />Rates Total Hours <br />lU ✓L C iJ ]Zt? <br />41 i Q4 <br />' d&�Rj 4 <br />Start Stop <br />Total ISensor Removed <br />Yes No <br />Mileage <br />Sensor Replaced to Lowest Point <br />Yes No <br />Safety Observations / <br />Customer supplied Yes I Fuel Filters Placed in Yea Yea .. r Yes <br />Tech Signature a Client Signature f �,, ' y "� Date: <br />
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