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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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PR0523684
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
3/3/2021 12:08:26 PM
Creation date
7/6/2020 1:24:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0523684
PE
2351
FACILITY_ID
FA0015977
FACILITY_NAME
Fast Lane Central Valley
STREET_NUMBER
116
STREET_NAME
ROTH
STREET_TYPE
Rd
City
Lathrop
Zip
95330
APN
196-02-020
CURRENT_STATUS
01
SITE_LOCATION
116 Roth Rd
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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` �W <br /> Elite IV Coati-actors <br /> RECEIVE® <br /> t 1 2020 <br /> Date: 01/21/2020 <br /> ENVIRONMENTAL HEALTH <br /> Date Work Completed 1/21/20 DEPARTMENT <br /> Site: Fast Lane : 116 Roth Rd Lathrop, CA 95330 <br /> Scope of work: All grades ruining slow, replace both 87 & 91 leak detectors. Like for <br /> like- Test—ok. <br /> Part VMI 99LD2000 <br /> SN#19121741 (91) <br /> SN# 19121740(87) <br /> Tech—Chris Adams <br /> ICC Certification: UST Service Tech 8230218 4/17/20 <br /> VMI LD 3483 6/1/20 <br /> VMI 890 Tester 3484 6/1/20 <br /> Phn: 209.461.6337 Fax: 209.461.6342 2535 Wigwam Dr. Stockton,CA 95205 <br /> Email: Carrie@eliteiv.com <br />
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