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COMPLIANCE INFO_2018
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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PR0231906
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COMPLIANCE INFO_2018
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Last modified
7/22/2020 4:11:54 PM
Creation date
7/22/2020 3:32:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2018
RECORD_ID
PR0231906
PE
2361
FACILITY_ID
FA0003776
FACILITY_NAME
KWIK SERV LODI BW 113*
STREET_NUMBER
420
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06202042
CURRENT_STATUS
01
SITE_LOCATION
420 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
KBlackwell
Tags
EHD - Public
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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, California 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)468-3433 Web: http://www.socehd.com/index.html <br /> ,CONTINUATION FORM Page: of <br /> OFFICIAL INSPECTION REPORT Date: <br /> Facility Address: `,�J , � �4/1 I LL Program: 63 <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I, CLASS II, or MINOR-Notice to Comply) <br /> vV< < <br /> P, t? x <br /> L C <5.Lb<) <br /> ?, <br /> s ro <br /> S r� <br /> �oT� • Ser v <br /> I +,sc " <br /> - loo <br /> OCA-a.V�@ +D'u� - gra <br /> C C, a 1 esu- ne43 �- <br /> LYA� i rIF <br /> &MI <br /> Nem V M4 '� e 0.0s at/ fio re, ciof n <br /> fi(C�.C11ok <br /> ALL EA STAFF TIME ASSOCIATED WITH FAILING TO COMPLY BY THE AB VE NOTED DATES WILL BE BILLED THE CURRENT HOURLY RATE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S URRENT HOURILY RATE. <br /> EHD Inspector: eceiv By: Tit, <br /> R . <br /> ox) <br /> fj <br /> EHD 23-02-003 Rev 04/02/14 CONTINUATION FORM <br />
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