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COMPLIANCE INFO_1995-2002
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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E
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88 (STATE ROUTE 88)
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14971
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2300 - Underground Storage Tank Program
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PR0231911
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COMPLIANCE INFO_1995-2002
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Last modified
11/20/2024 9:21:33 AM
Creation date
6/23/2020 6:53:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1995-2002
RECORD_ID
PR0231911
PE
2361
FACILITY_ID
FA0000540
FACILITY_NAME
COUNTRYSIDE LIQUORS & GAS
STREET_NUMBER
14971
Direction
N
STREET_NAME
STATE ROUTE 88
City
LODI
Zip
95240
APN
06316025
CURRENT_STATUS
01
SITE_LOCATION
14971 N HWY 88
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231911_14971 N HWY 88_1995-2002.tif
Tags
EHD - Public
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AFFORDA-TE$T <br />POB 36 26515 N. SACTO. BL <br />THORNTON, CA. 95686 <br />(209) 794-0102 (800) 524-9087 <br />LEAK DETECTOR <br />TEST REPORT <br />FTA TEST CHART <br />I STATION # JJ /��/ �? �'-IIS I TEST DATE <br />OWNER OPERATOR/ L. <br />NAME ] f7 n I -C MGR ELY yl &4,�j <br />_PHONE —dV"j -A(p12 "/`16-'i4 PHONE c1,l8'—/6,U <br />SITE <br />ADDRESS /,yq7/ u,9 y ffy ADDRESS gay k" P <br />17, 1 - -- <br />Type of Leak Detectors tested (check) <br />CONTRACTOR CERTIFICATION <br />XLD P/N 116036-5 XLP P/N 116035-5 <br />Technician Performing Test <br />LYLE D. N1MMO <br />OM # 91-1143 <br />BFLD XL Model) <br />_ DLD P/N 116017-5 <br />PLD P/N 116030-5 BFLD P/N 116012-5 <br />OTHER <br />Yes / No <br />SI TUBE <br />TEST INFORMATION <br />No.T <br />Serial <br />Number <br />Resiliency <br />Opening <br />Time <br />s <br />LeaTtRate <br />ML/Min <br />Functional <br />Element <br />HoldingPSI <br />Meterin <br />PSI g <br />Yes / No <br />Product <br />757 <br />
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