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COMPLIANCE INFO_1986-1996
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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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TANKNOLOGY UNDERGROUND i K DE Ff.: C"I'101\1 `_aYS Tj M (V6AS-24-131962 <br />) Page :1..3' <br />Cil,EVR0N - Apr 11, 1995, 0204 <br />Customer: Site #: Service Order#: <br />CHEVRON 9_183 131962 <br />Address: City/St: Zip: <br />236 N.HAM LN./ LODI, CA 95242— <br />l1-::::,, <br />To insure that your station is felly operational prior to our test -unit <br />departing from your location, PLEASE WITNESS the following items: <br />1 ) Eaclh d.11 s `)e -.n i a p eY" at,a s, flId al 1 0l. L,- c _' i C a q S Gx d _,k S W of - e <br />rernoved . <br />2) 'There are NO LEAKS in the ",.,-,u )_'purnp araa,, even when the pl.tMPS, c",Te runnlnq. <br />All Leak Detectors have bec—n Qualil-_,y ::ac;;; lod with a I .,,ad seal. <br />. <br />Documentation: F>R(DDUCT DAME T"F-1RE,)DS VISABLE SON LEAK DETECTOR. <br />Ik7. <br />112 <br />..... ... <br />�j. <br />#k S <br />#6 <br />................. _...................................... <br />#k 7 <br />3 ,) All debris, safety—cones, and magnetic signs ha,.,re been removed from the <br />wC)r k ar—a a . <br />4 ) All tanks and dispensers w, re restored to their or i,CAnal state . <br />The Location Representative agrees that the above items were witnessed and <br />completed following the completion of 'Tank and/or Line Testing. <br />Location Representative's Name: Loc. Rep. Signature: Date: <br />Unit Manager Name: <br />Randy aldridge <br />062 <br />Unit Mgr. Signature: <br />a10jA-PVr_ _....... ........ ...... <br />.K.... <br />Date: <br />-/� - 9x 0 . <br />
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