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COMPLIANCE INFO_2015-2018
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2300 - Underground Storage Tank Program
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PR0231331
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COMPLIANCE INFO_2015-2018
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Last modified
6/20/2023 2:14:17 PM
Creation date
6/3/2020 9:44:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2015-2018
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_2015-2018.tif
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EHD - Public
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Am M <br /> 1w San Joaquin County wr <br /> Environmental Health Department <br /> 1868 East Hazelton Avenue, Stockton, California95205-6232 <br /> Telephone. (209) 468-3420 Fax: (209) 468-3433 Web.,www.siqov.orcI/ehd <br /> Underground Storage Tank Program Inspection Report <br /> Facility Nance: Facility Address: Date: <br /> 975 S FAIRMION-F AVE, LODI 0,c1uA,)er 08, 2015 <br /> MBIVIORIALLOSIFTFAL <br /> ALL EHD STAFF TIME ASSOCIA WITH F O OM LY BY NE ABOVE NOTED DATES WILL BE BILLED AT THE CURRENT HOUREV RATE. <br /> THIS FAC XV AS S JEC REINSPECTION AT ANY TIME AT END'S CURRENT HOURLY RATE <br /> Received Received y(printed name and title): <br /> (signatur .indy Roeric.,,,h, <br /> 0 <br /> JA 9:2 <br /> Inspector Inspector(printed name and title): Inspector Phone: <br /> (signature): (209) 468-3453 <br /> ARIS VEL11-11SO, Sen'or REHS <br /> Page 6 of 6 <br />
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