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COMPLIANCE INFO_2019
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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PR0232355
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COMPLIANCE INFO_2019
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Entry Properties
Last modified
11/4/2022 11:05:30 AM
Creation date
9/15/2020 4:54:41 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2019
RECORD_ID
PR0232355
PE
2361
FACILITY_ID
FA0000591
FACILITY_NAME
QUIK STOP MARKET #2152
STREET_NUMBER
1721
Direction
S
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
LODI
Zip
95240
APN
062-060-48
CURRENT_STATUS
01
SITE_LOCATION
1721 S CHEROKEE LN # 1
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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KBlackwell
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EHD - Public
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AL,TON �� _ � r_o- . <br /> P . O . Box 1025 9163721888 PH <br /> 3900 Commerce Drive9163731172 FAX <br /> West Sacramento , CA 95691 - 1025 CA Contractor's License # 617238 <br /> Customer Job Location Work Order # 123891 <br /> Quik Stop Markets , Inc. Quik Stop Market #152 Z1 Scheduled Date : 9/20/2019 <br /> 4567 Enterprise Street 1721 S . Cherokee Lane #1 Scheduled Time : 9 :00 : OOAM <br /> Fremont , CA 94538 Lodi , CA 95240 Contact: Michael Karvelot <br /> Customer PO# : Tony <br /> Phone : 2093697375 Facility : W31020- 152 <br /> Station # : 152 <br /> Contract # <br /> Wor To Be Performed : Cali type: Test`- Repair " Retest <br /> Tank - Replace Diesel SC <br /> Work Performed : '11 <br /> 9/20/ 19 Completed JSA and uploaded to Walton work order prior to starting work on site . <br /> 9/20/19 Arrived on site to replace and retest diesel spill container. Removed old spill container and replaced with new <br /> bucket . Replaced swivel adaptor due to it having large score marks on the face of the adaptor. Performed lake test <br /> with passing results . <br /> Open Problems : <br /> Parts used : <br /> Qty Part # Mfg Mfg Part # New Serial # Desc Reason <br /> 1 301 - 13011 OPWTALP - 1020- EVSwivel Adapter - Fill , E R ormai Wear <br /> 1 301 - 11011 OPW1C- DEVRBUC E Spill Container, Fill MP [Old Style] Nlormal Wear <br /> Date Technician Arrival I Departure I Date' echnician Arrival Departure <br /> 9/20/19 Hines ; Maxwell S . 8 : 15 11 :40 9/20/19 Olvera III ; Henry S . 8 : 15 11 :40 <br /> IR <br /> z <br /> ENVIRONME Al <br /> Store Stamp & Signature <br /> I <br /> / 44 440�0 <br /> e�chnician Signature Customer Signature <br />
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