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COMPLIANCE INFO_2021
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2300 - Underground Storage Tank Program
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PR0231309
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COMPLIANCE INFO_2021
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Last modified
1/4/2022 11:10:32 AM
Creation date
4/5/2021 1:49:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0231309
PE
2361
FACILITY_ID
FA0003756
FACILITY_NAME
KISHIDA, GEORGE INC
STREET_NUMBER
1725
STREET_NAME
ACKERMAN
STREET_TYPE
DR
City
LODI
Zip
95240
APN
06219001
CURRENT_STATUS
01
SITE_LOCATION
1725 ACKERMAN DR
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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Underground Storage Tank <br /> Monitoring t Certification r <br /> 77 <br /> " <br /> Facrllty Address: ,4 � ,,i b r, <br /> Date site plan was prepared. <br /> If a site plan has been prepared that shows all required information, you may include it, rather than <br /> this page with your Monitoring System Certification Form. The site plan mast show the general <br /> layout of tanks and identity locations of the monitoring panel, and all leak detection equipment and <br /> monitoring locations. Including a legend for all symbols depicted <br /> oma` <br /> All VD16 <br /> Rove. Alow�� <br /> s"O Sow orW ' <br /> 51AS " ' 00 <br /> or <br /> Page 9of9 <br />
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