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COMPLIANCE INFO_2021
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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PR0231706
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
10/17/2022 4:20:09 PM
Creation date
3/31/2021 3:22:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231706
PE
2361
FACILITY_ID
FA0000485
FACILITY_NAME
FLAG CITY CHEVRON
STREET_NUMBER
6421
STREET_NAME
CAPITOL
STREET_TYPE
AVE
City
LODI
Zip
95242
APN
05532024
CURRENT_STATUS
01
SITE_LOCATION
6421 CAPITOL AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\kblackwell
Tags
EHD - Public
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6421 Capitol Ave, Lodi Record ID PR0231706 <br /> 4/26/2021 UST Inspection <br /> Photo 4: The incorrect designated operator report was used for the 10/12/2020 report. <br /> UNDERGROUNDSTORAGETANK <br /> DESIGNATED UNDERGROUND STORAGE TANK OPERATOR VISUAL INSPECTION REPORT(Peg-I of2) <br /> CERS ID __ I. FACILITY INFORMATION <br /> Dale of 0"g—ted UST Operator Inspection <br /> 10180605 1 Dh 2!2020 <br /> ausino66 dame(Same as FacilRy Name waeA�fJinP ausmess AsJ <br /> Flag City Chevron <br /> 9esiness SM Adtlress City ZIP Code <br /> 6421 Ca hal AveLodi 94583 <br /> II. DESIGNATED-UNOERGROUNO STORAGE TANK OPERATOR INFORMATION <br /> Name of Designated U6T Operator(Ainr as shown on the!CC Certifica[ion) Phone IS <br /> Alex A.dabbari (925)389-1262 Erl. <br /> ICG Gert4caGon i ICC C-11-tion Expi-I-Date <br /> 111. COMPLIANCE ISSUES 912122 <br /> 'hrough Xl must 6e ekplained In this sechpn and mayregvin:fclfo—p ach- <br /> 1 is not required on double wall tanks and lines <br /> 1 Peak detection alarms since my last inspection <br /> 7 cleared by itself <br /> FLRC CITY CKE11RON <br /> 6421 CAPITAL <br /> LODI CA 95242 <br /> OC'T I2. 2020 '4:47 APl <br /> SYSTEM STATUE REPORT <br /> ALL FUNCT[ONB NORMAL <br /> �-N BY DESIGNATEb UST pPERATOR CONDUCTING TRIS INSPECTION <br /> tspection was performed in full compliance with California Code of Regulations,title 23, <br /> 1116 and as Me information provided herein is accurate, <br /> PLARfj N[STORY REPORT <br /> --- SENSOR ALARM ----- gNNER]OPERATOR DESCRIPTION OF FOLLOW-UP ACTIONS <br /> L i:q 1 ANNULAR est have a d—dphon of thefoNoaWp action taken,a to 6e taken,to cwrecf the issue on the numaer line that <br /> ANNULAR SPACE compkance issue is listed shove in secifPn NI. <br /> SENSOR OUT ALARti <br /> SEP 4, 2020 8;13 FM <br /> SENSOR OUT ALARPi <br /> SEP 4, 2U20 R:05 AM <br /> FUEL nL,4RM <br /> SEP 4, 2020 6:05 AM <br /> 72. <br /> VI. OWNER I OPERATOR ACKNOWLEDGMENT OF COMPLIANCE ISSUES <br /> f have reviewed section it"COMPLIANCE ISSUES"and provided a description in section V,of the action taken or t betaken <br /> to correct the issues discovered. <br /> Name oiU Ownr10porator(Pdn) UST erlodara c ul' + p„qe Inr� <br /> CEJ{S=Cafdarrre Fmimnmental Ra.vvfino 9rs�ir4lD=klnn,USf=lkttleralfj-,J1raaWl fNr[ Istora9e7 tanklCCzfieemafional Cade Caulcil 11 r� IPG <br /> • I� <br /> John Alaniz, REHS Page 4 of 8 <br />
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