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INSTALL_2021 AS BUILT PLAN
Environmental Health - Public
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EHD Program Facility Records by Street Name
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DR MARTIN LUTHER KING JR
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1233
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2300 - Underground Storage Tank Program
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PR0547072
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INSTALL_2021 AS BUILT PLAN
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Last modified
3/8/2023 4:47:25 PM
Creation date
8/4/2022 3:51:59 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
INSTALL
FileName_PostFix
2021 AS BUILT PLAN
RECORD_ID
PR0547072
PE
2351
FACILITY_ID
FA0026688
FACILITY_NAME
7-ELEVEN INC. #41342
STREET_NUMBER
1233
Direction
E
STREET_NAME
DR MARTIN LUTHER KING JR
STREET_TYPE
BLVD
City
STOCKTON
Zip
95205
CURRENT_STATUS
01
SITE_LOCATION
1233 E DR MARTIN LUTHER KING JR BLVD
QC Status
Approved
Scanner
SJGOV\kblackwell
Tags
EHD - Public
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=i <br /> APPENDIX E it al £ i11 .. _ u i = :: , 46 ) <br /> SITE SKETCH (Indicate specifics of tankin ' ADDITIONAL NOTES <br /> Note any variations and/or deviations from <br /> instructions (and attach written authorizations): <br /> F --H <br /> i <br /> VERIFYING SIGNATURES <br /> CONTRACTOR TANK OWNER/REPRESENTATIVE <br /> I verify that this information is a true record of the installation I verify that this information is a true record of the installation of the <br /> of the tanks listed here . tanks listed here, an at I have received a copy of the Installation <br /> Manual and this Tank Installation Checklist, <br /> Name : Name . <br /> Telephone : Jj Telephone : <br /> Email r c/ mail : <br /> Address : < , Address : <br /> G elo <br /> Signature : Signature : <br /> Date : Date : <br /> i <br /> TO INSTALLER : After tank installation, deliver the Installation Manual with the completed Tank Installation Checklist to the tank owner. Retain a copy <br /> of each for your records . <br /> TO OWNER : After installation , retain the limited warranty, the Installation Manual and completed Tank Installation Checklist forfuture reference and <br /> to facilitate any warranty claim . <br /> a � <br />
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