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COMPLIANCE INFO_2021
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_2021
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Entry Properties
Last modified
4/21/2022 8:11:54 AM
Creation date
3/3/2021 11:49:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
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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Elite 1V Contractors �� �� �/� Date Mailed <br /> OIC E <br /> 11/1/2021 <br /> 2535 Wigwam Dr. <br /> Stockton, CA 95205 Completion Date Invoice # <br /> Federal ID#47-1410480 10/12/2021 E21-2579 <br /> Bill To Site: <br /> B&G Group Fast Lane Gas &Food Mart <br /> 111 Healdsburg Ave 116 Roth Rd <br /> Healdsburg, CA 95448 Lathrop, CA 95330 <br /> Ref No: 6217 Terms: Net 20 Due Date: 11/21/2021 <br /> Qty Description Price Each Amount <br /> SITE KEEPS FAILING OVERFILL TEST <br /> Checked all 3 grades on front island. <br /> 87-Has Flapper&verified audible alarm works. <br /> 91-Has Flapper&verified audible alarm works. <br /> Diesel-Has flapper&verified audible alarm works. <br /> Checked diesel island: <br /> North tank-Has flapper on drop tube. Verified audible alarm works. <br /> South tank-Has flapper on drop tube. Verified audible alarm works. <br /> All drop tubes test,-Passed. <br /> 1.25 Labor 79.50 99.38 <br /> 1.25 Labor 79.50 99.38 <br /> 1 `,OSHA Compliance Surcharge 3.50 3.50 <br /> Sales Tax (7.75%) $0.00 <br /> Total $202.26 <br /> Payments/Credits $0.00 <br /> Delinquent payments are subject to an additional charge of 6% Balance Due $202.26 <br /> per month of the unpaid balance. <br /> IF YOU SHOULD HAVE ANY QUESTIONS REGARDING THIS INVOICE,PLEASE CONTACT OUR ACCOUNTS RECEIVABLE <br /> DEPT IMMEDIATELY.YOUR SATISFACTION IS OUR GOAL!THANK YOU. <br /> Phone (209) 461-6337 Fax (209) 461-6342 <br />
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