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COMPLIANCE INFO_2009-2014
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231331
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COMPLIANCE INFO_2009-2014
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Last modified
1/4/2021 1:20:05 PM
Creation date
6/3/2020 9:44:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2009-2014
RECORD_ID
PR0231331
PE
2351
FACILITY_ID
FA0000513
FACILITY_NAME
LODI MEMORIAL HOSPITAL
STREET_NUMBER
975
Direction
S
STREET_NAME
FAIRMONT
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
03107039
CURRENT_STATUS
01
SITE_LOCATION
975 S FAIRMONT AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2351_PR0231331_975 S FAIRMONT_2009-2014.tif
Tags
EHD - Public
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17J <br />416 2nd Street <br />Galt, Ca. 95632 <br />800 524-9087 <br />FAX 209 744-0116 <br />L <br />INVOICE NUMBER <br />[10/11/2011 13992 <br />Afforda-Test pays the State sales tax on parts. City or District taxes or permits are site's responsibility. <br />Credit cards are not accepted on discounted rates. <br />I ALL ADDITIONAL COPIES OR FAXES OF RESULTS ARE CHARGED $10. PLEASE CALL WITH CREDIT CARD. <br />BILL TO <br />SITE <br />Lodi Memorial Hospital <br />975 S. Fairmont Street <br />Randy: Maintenance Supervisor <br />Lodi CA <br />POB 3004 <br />Lodi, Calif. 95241-1908 <br />P.O. No. <br />68233 <br />Site ID # <br />1460 <br />ITEM CODE <br />QTY <br />DESCRIPTION <br />EACH <br />AMOUNT <br />ATG <br />2 <br />Annual Monitor Certification - 1 ATG is Regular, 1 is <br />299.00 <br />598.00 <br />VPH <br />Spill Buckets ... <br />3 <br />Spill Bucket Testing with other Testing <br />50.00 <br />150.00 <br />LT <br />1 <br />Product Line Test (Initial) <br />249.00 <br />249.00 <br />ESTIMATE IS FOR ONE TRIP, NO PARTS. <br />"Postmark by 10/25/11 and pay discounted rate of <br />$920. <br />"MANY ACENC'IIS ARE NOW VIOLATING SPIT?S TRAT DO NOT 11AVE: RES 1.4.1'S TO T11 111 OFFICE i\TI'IIIN 30 DAYS OF <br />TESTING. AVE DO NOT SEND UNTIL PAY ME;NT 11AS BEEN AI. -ADE:. Pl..,E,ASE: ,ARRANGE: YOI R PAYME N T AC.'C'ORDINC.I Y <br />(allow for rail time)." <br />Total $997.00 <br />Afforda-Test pays the State sales tax on parts. City or District taxes or permits are site's responsibility. <br />Credit cards are not accepted on discounted rates. <br />I ALL ADDITIONAL COPIES OR FAXES OF RESULTS ARE CHARGED $10. PLEASE CALL WITH CREDIT CARD. <br />
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