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COMPLIANCE INFO_2021
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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HARNEY
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2300 - Underground Storage Tank Program
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PR0537549
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COMPLIANCE INFO_2021
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Entry Properties
Last modified
8/25/2021 7:59:50 AM
Creation date
4/5/2021 1:54:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2021
RECORD_ID
PR0537549
PE
2351
FACILITY_ID
FA0021617
FACILITY_NAME
HARNEY LANE AM PM
STREET_NUMBER
255
Direction
E
STREET_NAME
HARNEY
STREET_TYPE
Ln
City
Lodi
Zip
95240
APN
062-580-40
CURRENT_STATUS
01
SITE_LOCATION
255 E Harney Ln
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\kblackwell
Tags
EHD - Public
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DiSCI.AI�E�; Alscsnse status shack pw�ides informatialt iakeniram the csi.s [icensa database. P3efors <br />relying on this information, you should be aware of the following limitations. <br />JUN 2 4 2021 <br />ENVIRONMENTAL HEALTH <br />DEPARTMENT <br />! C:3 cama.¢intdisUa:a'e tsrcxritted ayt¢rr y3sa?:e<.0}tiL:is¢r,Cty!s sett eCtioy'.>3icccmgia�ntds;siosureaic+mtL kt::at will ap4tarbetc:n ixrnort <br />in;etmaHon. frtk hpru far � dtTn4ion of dts:Usable artianx: <br />r o�!yca^..;uarfon reztN ch:uudgm:nts reported to CEtS rm6i:,closed IMP <br />not hated Jnft;l me cwnrectof faits to Camnly Y.;tn the tYms. <br />r 9Ueto .nor<iwc, the tor-adUttha; TnS ^.o: y- been eill .ed olto the to¢rd's Sccnscdati6a;a. <br />Tbis license is current and atiiYa. <br />AU infarmatian bmiava shavld be <br />reviarued. <br />P E-GEt-0"cR:i 3U1?GING CONTRACTai3 <br />Data current as of 3/29/2021 5:00:35 PM <br />BU5Tie5S )ni+.3rrri.firJ": <br />B 2 SEP,VICE STATlaN t.9A1NTENANCE !NC <br />PO BOX 933 <br />WEST SACRAtaENTO, CA 95691 <br />nosiness Phone Number:(203) 451.533; <br />Entity Corporation <br />tssve Date 01(03(1983 <br />Exgirn Date 6113112023 <br />._!.,"ci1t53 �ieiU5 <br />r C-61?040-SERVICE STATION EQUIPtdEPiT AtS0 b1AlNTENANCE <br />> k•GENER:ti EtdGINEERING CONTRACTOR <br />Contraetar's Bond <br />T hls license flied a Contractor's Band with AMERIGN CONTRACTORS INDEMNITY COMPANY. <br />Band Number: ? x0379893 <br />Bend Amount: S151406 <br />Effective Date: 03'01r301s <br />CGn1ydcKN'5 G9no 11igro- ' <br />band of Qnalltylrtg individual <br />She yvaiifying indiviGual PAUL EDGAii EA:SELE certified that hefshe cv:ny 10 percent or more of tita voting:tocWmembership interest of <br />this company; therefore, the Band of Qualifying individual is notrequired. <br />Effective OaL.: a61a9J202a <br />BQIS Bon^ History <br />;�rYG::: LU�I)f:(3!!5C11iC'r'i <br />'ibis license las v�ori:.ars camperuatix insuran: e vnch the NATIONAL LIA89UTY AND FIRE INSURANCE COMPANY <br />Policy Nvmbar:l'9iNC1?3598 <br />£irectiva Date: 10/278926 <br />£Xyire Date: 10127(2021 <br />or'lar5 Cern 2nsation History <br />r Personnel listed or: this iicense(cvrrent ordisassociatdd; ata 4isted on outer licenses. <br />
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