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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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2300 - Underground Storage Tank Program
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PR0540987
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
5/22/2024 4:24:49 PM
Creation date
7/21/2023 9:40:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0540987
PE
2351
FACILITY_ID
FA0023459
FACILITY_NAME
Pilot Travel Center Lathrop - 1017
STREET_NUMBER
345
STREET_NAME
ROTH
STREET_TYPE
Rd
City
FRENCH CAMP
Zip
95231
CURRENT_STATUS
01
SITE_LOCATION
345 Roth Rd
QC Status
Approved
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SJGOV\lsauers1
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EHD - Public
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JONES COVEY GROUP, INC . <br /> Verified Candidate <br /> Customer Name: Account Number <br /> 1CC 1 , Keith Henderson 8124725 <br /> 11 � <br /> 1 Certifications : <br /> Initial Current <br /> Cert1fication ExpirationCertificate <br /> 02/ 25/2022 02/25/ 2024 Vapor Recovery System Installation <br /> i and Repair <br /> verify . iccsafe . org/ 8124725 02/25/2022 02/25/2024 Vapor Recovery System Testing and <br /> r• r. <br /> _ Repair <br /> 06/ 16/2023 06/16/2025 California UST Service Technician <br /> 06/05/2023 06/ 05/2025 California UST System Operator <br /> (Designated) <br /> 1 <br /> 1 <br /> VM1 N <br /> Vaparless Manufacturing , Inc . <br /> 3700 East Long Mesa Drive <br /> Prescott Valley , AZ 85314 <br /> Authorized Installation Technician <br /> Mechanical Line Leak Detector <br /> JONES COVEY GROUP <br /> KEITH HENDERSON #5104 ; <br /> 1 , <br /> Expires : 21112024 ; <br /> 1 y <br /> Authwized By ; <br /> t M <br /> • - r�I 1 u /All. a+�f � <br /> 9595 LUCAS RANCH ROAD , RANCHO CUCAMONGA, CA 91730 CA LICENSE# 804431 A , B , HAZ - LICENSED IN 41 STATES <br />
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