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COMPLIANCE INFO_1986-1996
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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PR0231333
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COMPLIANCE INFO_1986-1996
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Last modified
3/4/2021 11:12:57 AM
Creation date
6/3/2020 9:46:40 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1986-1996
RECORD_ID
PR0231333
PE
2361
FACILITY_ID
FA0003711
FACILITY_NAME
LAKEWOOD CHEVRON
STREET_NUMBER
236
Direction
N
STREET_NAME
HAM
STREET_TYPE
LN
City
LODI
Zip
95240
APN
03710028
CURRENT_STATUS
01
SITE_LOCATION
236 N HAM LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231333_236 N HAM_1986-1996.tif
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EHD - Public
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CERTIFICATION OF FILL TUBE MEASUREMENT <br />Station Number: <br />Station Address:3� <br />(;ar q,:5 V ,�5 <br />Purpose of visit: 14 <br />NOTE: Measure drop tubes as installed. <br />FILL TUBE MEASUREMENT <br />(DO NOT ROUND OFF) <br />Distance <br />Product From Tank Bottom <br />SU A B ei in. <br />U A B in. �— <br />AC.S- B in. A B <br />DIE ,y/`4 A B in. <br />"A" DIMENSION MUST NOT EXCEED 6" <br />I do.. certify that the above measurements are correct and that the <br />highest point of each fill tube is within 6 inches from the tank <br />bottom. <br />COMPANY �G�<il�ivloym <br />DATE Y, /0 �%.� <br />
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