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COMPLIANCE INFO_2006-2015
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2300 - Underground Storage Tank Program
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PR0231348
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COMPLIANCE INFO_2006-2015
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Last modified
12/12/2023 9:41:51 AM
Creation date
6/3/2020 9:47:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2006-2015
RECORD_ID
PR0231348
PE
2361
FACILITY_ID
FA0003803
FACILITY_NAME
KETTLEMAN CHEVRON
STREET_NUMBER
601
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04728006
CURRENT_STATUS
01
SITE_LOCATION
601 E KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231348_601 E KETTLEMAN_2006-2015.tif
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EHD - Public
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UST SYSTEM 'RETROFIT OR REPAIR <br />(Submit minimum of 3 sets of plans-& appiications as originals will be.retained by EHD) <br />1. Site map enclosed? YES [I . NO [ j <br />2. Submit copies. of ICC Service. Technician and/or Installer's certificate .and all manufacturer training certificates for each <br />person .installing or testing any component that is repaired oe replaced. Ensure a copy of the "Site Health and Safety <br />Plan" is available on the jobsite as required by -Title 8. . <br />3. Detailed description of workto be completed. List components to.be repaired or replaced.and. attach a diagram drawn <br />to scale showing location of.repairs and/or.replacements: If repairing a. component, describe how.this will be.done'.: (If <br />-adding,.piping; UDC's; or. other LIST equipment, or performing tank top .upgrade,: use the UST Installation Application <br />pages 4-8 as necessary for a timely plan review): <br />�V A r c A-rr_� ::t r% --W rni� <br />
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