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COMPLIANCE INFO_2017 - 2018
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2300 - Underground Storage Tank Program
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PR0231349
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COMPLIANCE INFO_2017 - 2018
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Last modified
7/6/2020 4:40:48 PM
Creation date
11/5/2018 3:56:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2017 - 2018
RECORD_ID
PR0231349
PE
2361
FACILITY_ID
FA0003633
FACILITY_NAME
ARCO 07049
STREET_NUMBER
800
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
Ln
City
Lodi
Zip
95240
APN
06206042
CURRENT_STATUS
01
SITE_LOCATION
800 E Kettleman Ln
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
KBlackwell
Supplemental fields
FilePath
\MIGRATIONS\K\KETTLEMAN\800\PR0231349\COMPLIANCE INFO.PDF
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EHD - Public
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SANJ 0 A 4 U I N Environmental Health Department <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> ARCO 07049 800 E Kettleman Ln, Lodi December 15, 2017 <br /> Documents reviewed: Monitoring System Certification report, Secondary Containment Testing report, Employee <br /> training, monitoring plan, response plan, financial documents, operating permit, maintenance records, <br /> designated operator monthly reports, alarm histort, alarm logs. <br /> Documents received by operator: Return to Compliance Certification Form <br /> Please be aware that as of January 1, 2014, facility operators are required to upload the following UST program <br /> documents into the California Environmental Reporting System (CERS): UST Monitoring Site Plan, UST <br /> Certification of Financial Responsibility, UST Response Plan, UST Letter from Chief Financial Officer(if <br /> applicable), and the Owner Statement of Designated Operator Compliance. The UST Owner/Operator: Written <br /> Agreement, if applicable, can be stored at the facility or uploaded into CERS. <br /> AFTER THE COMPLIANCE DATE,EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br /> THIS FACILITY BACK INTO COMPLIANCE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: Date: December 15, 2017 Inspector: Inspector Phone: <br /> Q � Printed Name and Title: BETTY HO, EH Specialist (209)468-3455 <br /> Evelina Carrillo, Manager <br /> FA0003633 PR0231349 SCO01 12/15/2017 <br /> EHD 23-01 Rev.10/31/2017 Page 4 of 4 Underground Storage Tank Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />
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