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COMPLIANCE INFO_2011 - 2018
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231332
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COMPLIANCE INFO_2011 - 2018
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Last modified
6/13/2019 3:42:16 PM
Creation date
12/6/2018 9:19:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2011 - 2018
RECORD_ID
PR0231332
PE
2361
FACILITY_ID
FA0003961
FACILITY_NAME
LODI MUNI SERVICE CENTER
STREET_NUMBER
1331
Direction
S
STREET_NAME
HAM
STREET_TYPE
LN
City
LODI
Zip
95240
APN
03104050
CURRENT_STATUS
01
SITE_LOCATION
1331 S HAM LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
KBlackwell
标签
EHD - Public
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Time In: <br />Time Out: <br />San Joaquin County <br />a Environmental Health Department <br />N: .. x <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />• • . P • Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.orcI/ehd <br />Underground Storage Tank Program Service Request Inspection Report <br />Name of Facility: LODI MUNI SERVICE CENTER <br />Date: 03/29/2018 <br />Address: 1331 S HAM LN, LODI 95240 <br />Requestor: JOSEPH BAGLEY, BAGLEY ENTERPRISES INC <br />Telephone: (209) 367-4800 <br />Program Element: 2308 - UST RETROFIT <br />Request #: SR0078415 <br />Inspection Type: 298 - UST RETROFIT REPAIR INSPECTION <br />Onsite Service Technician: Benjamin Duncan <br />ICC Service Tech/Installer Exp. Date: 04/03/2019 <br />Manufacturer training: Caldwell, 07/03/20; Veeder Root, 07/29/19 <br />OVERALL INSPECTION NOTES AND COMMENTS <br />NOTES <br />On site to witness sensor functionality of the monitoring system for under dispenser containment (UDC) 4/5. Certified service <br />technician Benjamin Duncan tested the 208 sensor. Test passed. <br />An equivalent to 24 hour hydrostatic test using a certified calibrated third parry approved Caldwell level chain indicator was <br />performed on UDC 4/5 and on the 87 product submersible turbine pump sump. All test passed. <br />Diesel secondary containment pipe was pressure tested for one hour. Test passed. <br />The person in charge is responsible for ensuring that the above mentioned facility is in compliance with all applicable sections of the California Health and <br />Safety Code. If a reinspection is required, fees will be assessed at the current hourly rate. <br />Received by: <br />EH Specialist: <br />ZUNA BARKER <br />Name and Title: Benjamin Duncan, <br />Phone: (209) 953-7311 <br />FA0003961 SR0078415 SC298 03/29/2018 <br />EHD 23-01 Rev. 06/30/15 Page 1 of 1 Underground Storage Tank Program Service Request Inspection Report <br />
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