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COMPLIANCE INFO_1999-2009
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231342
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COMPLIANCE INFO_1999-2009
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Last modified
11/4/2021 3:26:07 PM
Creation date
6/3/2020 9:46:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1999-2009
RECORD_ID
PR0231342
PE
2361
FACILITY_ID
FA0000392
FACILITY_NAME
FLAMES LIQUOR
STREET_NUMBER
1301
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95242
APN
03104030
CURRENT_STATUS
01
SITE_LOCATION
1301 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231342_1301 W KETTLEMAN_1999-2009.tif
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EHD - Public
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i <br />Location : FLAME LIQUOR - MINI MART <br />1301 W. KETTLEMAN LANE <br />LODI, CA, 95242 <br />Facility: <br />BILL TO : FLAME LIQUOR - MINI MART <br />Work Order Date <br />05111401-2 NOV 14, 2005 <br />Site Diagram <br />Monitoring Well ❑M IDispenser Sump Sensor <br />REG <br />= Regular <br />Waste Oil = <br />WSTE <br />Tank <br />PLUS <br />SUP <br />DISL <br />Stage II Riser ❑V ❑T Turbine <br />PLUS <br />= Plus <br />Premium = <br />PREM <br />SUP <br />= Super <br />Supreme = <br />SPRM <br />MPD Dispenser Fill OF WAnnular Sensor <br />Vents pp <br />DISL <br />= Diesel <br />Heating Oil= <br />FUEL <br />1301 W. KETTLEMAN LANE <br />8 4 <br />7 3 <br />T❑T O <br />6 2 DISL <br />DISL SUP PLUS REG O <br />1 <br />REG <br />❑ <br />J2TZ <br />A <br />5 1 <br />STORE <br />MONITOR <br />PLUS <br />SUP <br />REG <br />REG PLUS SUP DISL <br />SUP <br />REG <br />PLUS <br />REG <br />REG <br />PLUS <br />REG PLUS SUP DISL <br />SUP <br />REG <br />PLUS <br />REG <br />REG <br />PLUS <br />SUP <br />DISL <br />PLUS <br />REG SUP <br />SUP <br />REG <br />PLUS <br />REG <br />REG <br />PLUS <br />Lockout Tagout Procedure Followed? (Y/N) y <br />Location fully operational before leaving site? (Y/N) y <br />Turbines, leak detectors and dispensers checked for leaks? (Y/N) y <br />Purchase Order Contract # Arrival Time Technician Signature License <br />8:00 AM ROB NEIMEYERN — -_-- CCL # 803705 <br />APCD # 0121 <br />TANK-TEK ENVIRONMENTAL CORPORATION <br />607 Elmira Road, PMB 336, Vacaville, CA 95687 — Ph. (707) 446-6151 - .Fax (707) 446-6192 - E-mail: tank-tek@cwnet.com <br />31828 Cercle Chamberlin, Temecula, CA 92591 — Ph. (951) 699-8058 -Fax (951) 699-8059 - E-mail: drbtanktek@sdccu.net <br />DISL <br />SUP <br />PLUS <br />REG <br />REG <br />PLUS <br />SUP <br />DISL <br />Lockout Tagout Procedure Followed? (Y/N) y <br />Location fully operational before leaving site? (Y/N) y <br />Turbines, leak detectors and dispensers checked for leaks? (Y/N) y <br />Purchase Order Contract # Arrival Time Technician Signature License <br />8:00 AM ROB NEIMEYERN — -_-- CCL # 803705 <br />APCD # 0121 <br />TANK-TEK ENVIRONMENTAL CORPORATION <br />607 Elmira Road, PMB 336, Vacaville, CA 95687 — Ph. (707) 446-6151 - .Fax (707) 446-6192 - E-mail: tank-tek@cwnet.com <br />31828 Cercle Chamberlin, Temecula, CA 92591 — Ph. (951) 699-8058 -Fax (951) 699-8059 - E-mail: drbtanktek@sdccu.net <br />TANK-TEK ENVIRONMENTAL CORPORATION <br />607 Elmira Road, PMB 336, Vacaville, CA 95687 — Ph. (707) 446-6151 - .Fax (707) 446-6192 - E-mail: tank-tek@cwnet.com <br />31828 Cercle Chamberlin, Temecula, CA 92591 — Ph. (951) 699-8058 -Fax (951) 699-8059 - E-mail: drbtanktek@sdccu.net <br />
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