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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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CAPITOL
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6421
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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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No Pipeline Int Ate, e inn t� � too v � al €�i;z 3as Monitoring <br /> Ivo Suction Piping Leets EY, ernptlon C,iit<arin <br /> iia Rtx ola'e 1 Piping Per L4 , ILtr arx€ Cafaty e rtra, Hivigiou 211, C€isa <br /> �tes .7 lr; Go nrFa=c: M To f`ia~~a 't nk Syatarrn <br /> ira Od ar Pipaline Moniitorinf <br /> Under Dispenser Containw- ent (UDC ) Monitor i <br /> U "ornitoring Drdaciian of L.ea"t lents Lind; Triggera Atirli ale arae# lfiersal Alarms <br /> Conti Marts Yea <br /> t1f3t; Leak Marra }rig e rs Atx oruatic L'rnmp Shutdown <br /> UVC Panel Manufacturer Yes <br /> ` E C7ER ROOT FailitrruJttlrnconnec€ion of LIDO Monitorirqj Symesn "fOggers Autcirtratic Pump Gtautdoarrn <br /> UPO P reel Model " Yes, <br /> "R-S3W UDC Monitoring stops Fl&ff Las Prwdvrs i at ulsicenEar <br /> LIDO Leak onraor Manufacturev NO <br /> VEEDER ROOT UDC Construction <br /> UO-V Leak Soneor Model Sire -a-wa ;ESd <br /> 208 UDG Secondary Contain € . rnt Monitoring <br /> Leak .k7ittn'sn G;a arartsry C srrtatnsr =Nrat of UVC Gama Audiblt� and Visual Alarms <br /> Ftv Et..l3 feallaq <br /> Yrz G-auttaa�arirr C;rrttts;4nrraaraE Tt*=�tfie€€I two <br /> yen spill3vcErf 'I aaiesg <br /> YOM AInani LcKjs <br /> Ycs yirnuil Insireption Recarem@P <br /> No Tank Infre�rity Testing ReaultsOO <br /> NO SIR gcsding Rs-aults0 <br /> NO "ruin !, Gauging Heaults <br /> NO ATG boating Idsaufta <br /> No Corrssisn Protection Logs <br /> Yes Equipment Maintenance arnrl C, allbmrfsiearn R"cards <br /> raitasrn <br /> YSs Perraonn l with LIST NIonRo ing Rear a€fa §lif. a one F an Aliar with Training Docurnsuts *_ <br /> '3 e�ctfy 01how Training tfrsculne rIN <br /> ,des Ct a g92at 9 t7pa9`affcrr t €afrti i <br /> -"Ci3rnrocenAts / Peldit4€` nal friforrnatti3#1.,._. ee_ ._ _ . r.. ._ _ <br /> C unmonis and Additional information <br /> igaturt of First Parson Having Resplanaitalifty Mires of SZc read Person Having {1t sfyonsibility <br /> Name C3 . 1arantri fduranr i3M %;rarvirs <br /> Title of r4rat Puzreon I°tavlug ReSpOnslblirw Title of conr0 Person Raving fiewponsibilify <br /> Marleging Wwarer L : retar <br /> California Environmental Reporting System : Business l O 2021 California Environmental Protection Agency <br /> tlrtafica € ne e,fariit+ : � �al A ._. .t �tti ;,� ' C , nrnt ;-� yatzs' <br /> i <br /> I <br /> lit ps : JIcerskwsiness - cair: pa . ea . govi49393lPacility/ 10180605 ' SuhrnittaljUS 'fj471304 '1 / l- lonU <br /> itnringPian � efalll113K 354 <br />{ <br /> E <br />
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