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SITE HISTORY
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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KETTLEMAN
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248
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3500 - Local Oversight Program
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PR0545328
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SITE HISTORY
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Entry Properties
Last modified
2/11/2020 9:16:52 PM
Creation date
2/11/2020 10:59:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE HISTORY
RECORD_ID
PR0545328
PE
3528
FACILITY_ID
FA0009569
FACILITY_NAME
Custom Design Manufacturing
STREET_NUMBER
248
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
Ln
City
Lodi
Zip
95240
APN
06206046
CURRENT_STATUS
02
SITE_LOCATION
248 E Kettleman Ln
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Tags
EHD - Public
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t� <br /> I <br /> 431 West Hatch Road <br /> 1 ! <br /> Modesto , CA 9531741 Leslie Street" San Mateo , Ca 94402 <br /> (209) 524-9653 }•, ; (.415) 572-8033 <br /> S E M C a $ <br /> James C. Bateman Petroleum S+arvices Inc . <br /> General Engineering BuildinglContractor <br /> License No . 449864 A, B, C-61 <br /> ` F <br /> i� <br /> TANK DISPOSITION RECORD <br /> DATE: April 11, 1990 <br /> } <br /> GENERATOR ' S NAME: GeWeke RV <br /> Center <br /> ADDRESS: 248 E. Kettleman Lane k <br /> i� <br /> Lodi, CA 95241 w k <br /> TANK IDENTIFICATION: <br /> ID NUMBER 39-1.344--01 I� <br /> SIZE 1,000 <br /> E <br /> CONSTRUCTION Steel <br /> PRODUCT Unleaded Gasoline 3 } <br /> DELIVERED TO: SEMCO � t <br /> ;g E <br /> 431 W. Hatch Rd. <br /> Modesto, CA 95351 ,s <br /> - i <br /> a!q <br /> I hereby declare that the information above is fully and <br /> accurately described above by proper shipping name and that <br /> the tank was in proper condition for transport by highway <br /> according to applicable government regulations. <br /> i� <br /> E! <br /> Signature Title Date <br /> _k E <br />
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