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BILLING_PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1900 - Hazardous Materials Program
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PR0520807
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BILLING_PRE 2019
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Entry Properties
Last modified
5/22/2019 2:00:45 PM
Creation date
6/10/2018 11:46:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0520807
PE
1921
FACILITY_ID
FA0003776
FACILITY_NAME
KWIK SERV LODI BW 113*
STREET_NUMBER
420
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06202042
CURRENT_STATUS
01
SITE_LOCATION
420 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
EJimenez
Supplemental fields
FilePath
\MIGRATIONS\K\KETTLEMAN\420\PR0520807\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
4/21/2016 8:58:30 PM
QuestysRecordID
3037387
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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California Environmental Reporting Operator <br /> Facility/Site <br /> Kwik Sery Lodi,BW 113 CERS ID <br /> 20 W KETTLEMAN LN 10181407 <br /> LODI,CA 95240 <br /> Submittal Status <br /> Submitted on 7/12/2018 by Monica Farhat of TOKAY SHELL*(LODI,CA) <br /> Identification <br /> Kwik Sery Lodi,BW 113 Beginning Date Ending Date <br /> Operator Phone Business Phone Business Fax <br /> 209)577-6000 (209)369-2790 (209)577-6040 Dun&Bradstreet SIC Code Primary NAICS <br /> 5541 447190 <br /> Facility/Site Mailing Address Primary Emergency Contact <br /> 20 W KETTLEMAN LN Jas Bains <br /> LODI,CA 95240 Title <br /> Store owner <br /> Business Phone 24-Hour Phone Pager Number <br /> (209)369-2790 (209)810-5679 <br /> Owner Secondary Emergency Contact <br /> B&W Petroleum Andrew Rigopoulos <br /> (209)577-6000 Title <br /> 01 McHenry Ave manager <br /> Modesto,CA 95350 Business Phone 24-Hour Phone Pager Number <br /> 209)369-2790 (209)663-0203 <br /> Billing Contact Environmental Contact <br /> B&W Petroleum Monica Farhat <br /> (209)577-6000 (209)549-5612 mfarhat@boyett.net <br /> 601 McHenry Ave 601 McHenry Ave <br /> Modesto,CA 95350 Modesto,CA 95350 <br /> Name of Signer Signer Title Document Preparer <br /> Monica Farhat Operations&Compliance Monica Farhat <br /> Additional Information <br /> Locally-collected Fields <br /> Some or all of the following fields may be required by your local regulator(s). <br /> Property Owner Assessor Parcel Number(APN) <br /> ukh Singh 06202042 <br /> hone Number of Employees <br /> (209)369-2790 4 <br /> ailing Address Facility 1D <br /> 20 W KETTLEMAN LN <br /> LODI,CA 95240 <br /> Printed on 7/18/2018 10:56 AM <br />
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