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COMPLIANCE INFO_2023
Environmental Health - Public
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EHD Program Facility Records by Street Name
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MORADA
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2300 - Underground Storage Tank Program
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PR0524617
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
3/25/2024 1:27:00 PM
Creation date
1/13/2023 9:56:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0524617
PE
2351
FACILITY_ID
FA0016523
FACILITY_NAME
AISLE 1 #2356
STREET_NUMBER
4219
Direction
E
STREET_NAME
MORADA
STREET_TYPE
LN
City
STOCKTON
Zip
95212
APN
12429017
CURRENT_STATUS
01
SITE_LOCATION
4219 E MORADA LN
P_LOCATION
01
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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Lig IWork Order Job: 475993 <br /> , <br /> Service Station Systems,Inc. PO# : 209737596 <br /> 680 Quinn Ave <br /> San Jose,CA 95112 Ref#: 209737596 <br /> (408)971-2445 <br /> dispatch@servicestationsystems.com <br /> Contractor License:485184 <br /> Site: <br /> Aisle 12356 <br /> 4219 Morada Ln <br /> Stockton,CA 95212 <br /> Work Performed <br /> Category: Dispensers Unit#: 05 <br /> Component: Cabinet Item : GIL ENCORE 500 NL-1 <br /> Failure: Leaking Fuel Serial#: KREN 112568 <br /> Repair: Leak Repaired Task#: 1 <br /> Enter Date/Time of Service(Military Time): 07-18-2022 03:00 The following data was recorded by(Tech Justin J <br /> First/Last Name): <br /> Update Site Maintenance and ISD Logs,TAKE LOG NOT AVAILABLE Name of person site keys returned to or Did Teresa <br /> PICTURES and attach to job: WHEN REQUESTED Not Use: <br /> The status of this task is: CLOSED-COMPLETE The following data was recorded by(Tech Justin J <br /> First/Last Name): <br /> Brief Summary of Repairs or Additional Details: <br /> Arrived on site and found FP#5 in service.Open D5 to check for leaks,found 91 meter outlet piping leaking fuel. Remove outlet <br /> piping from meter,reseated O-Ring,and reattached piping.Tested for leaks,no leaks found.All tested good returned to service. <br /> Labor and Travel <br /> Start Date Tech Name Travel Labor Total Hours <br /> 7/18/2022 3:00 PM BRANDONO 1.00 1.00 2.00 <br /> 7/18/2022 3:00 PM `JUSTINJ _ 1.00 1.00 2.00 <br /> Totals: 2.00 2.00 4.00 <br /> Parts and Materials <br /> Entry Date Description Qty <br /> 7/15/2022 Fuel Surcharge 1.00 <br /> 7/18/2022 Misc Safety Equipment 1.00 <br /> We do not guarantee solutions to all problems with one service call. Due to part and equipment issues,intermittent problems,and other reasons, <br /> multiple trips may be required. Travel charges will be added for each service call required. Your signature below acknowledges that the times <br /> recorded and work described is accurate. If applicable,parts and labor warranty is limited to that offered by the manufacturer only. Customer is <br /> responsible to verify that all programming(i.e.pricing,PLU,etc.)is accurate. Service Station Systems, Inc.is not responsible for any damages,loss,or <br /> expenses incurred due to electronic system failure,data breach,or corruption including,but not limited to,connectivity for hardware,software operation, <br /> virus or malware,or program setting/reports that may be related to our work. We are not responsible for down time or loss of business or revenues due <br /> to the work being performed. Current labor and travel rates, in effect at the time of this work,will be charged. This is not a final invoice. All terms and <br /> conditions in your current customer agreement or quote for this specific job are in effect. <br /> Report Date: 7/18/2022 3:41:25 PM PST Page 1 of 2 <br />
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