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COMPLIANCE INFO_2022
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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PR0543574
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
11/22/2022 9:11:47 AM
Creation date
2/15/2022 9:44:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0543574
PE
2351
FACILITY_ID
FA0024750
FACILITY_NAME
Harney Lane 76
STREET_NUMBER
141
Direction
E
STREET_NAME
HARNEY
STREET_TYPE
LN
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
141 E HARNEY LN
QC Status
Approved
Scanner
SJGOV\kblackwell
Tags
EHD - Public
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Address Harney Lane 76, 141 Harney Lane, Lodi CA 95240 Record ID PR0543574 <br />Date 7/28/2022 Program: UST <br />PHOTO 1: <br />Expired letter from chief financial officer on site. <br />Effective duly 1, most de995, lmonstrateatlleast Business and California B <br />employees ut less m <br />businesses with over 500 employees mast demon usive of the U messes with 500 <br />Sect. 25299.32) na. , each <br />strafe Cl <br />at least S10,o0p Chap. 6 5 Fund, <br />Chief Financial <br />er or the owner or <br />tor <br />PLY as follows orcyou may complete th <br />is letter bytf"go, in bl alty °f e 'ury, a letter worded <br />LETTER FROM aaks with Ppropriate information: <br />M CHIEF Fps <br />the Chief Financial Officer for Avin Shaan Investments,ANCjp�d, OFFICER <br />(s�aia�nm,�, nuaircv mmr,a+m LLC <br />141 E Ham e Lane Lodl, CA 95240 edm°"'°t°`m*e wwsl <br />letter is in support of the <br />e ofthe <br />,ponsibility for taking corrective action and/Underground <br />r compensating ntorng third <br />Cleanup Fand to demonstrate financial <br />and property damage caused b third Parties for bodily <br />gd 5'000.00 Y an unauthorized release of petroleum in the amount of at least <br />(ibt�per occurrence $ s000.aa <br />annual <br />(oouv Amman) aggregate coverage. <br />'nderground storage tanks at the following facilities are assured by this letter: <br />Harney Lane 76 -141 E Harne I Lane Lodi, CA 95240 <br />;¢me and address of each facility for which fumacisl respoasWitiry tt baiog demoasaated,) <br />1, Amount of annual aggregate coverage being assured <br />by this letter......................................................................... $ 5,000.00 <br />2. Total tangible assets.............................................................. $ 200,000.00 <br />3. Total liabilities....................................................................... $ 0 <br />4. Tangible net worth (subtract line 3 from line 2. <br />Line 4 must be at least 10 times line1).................................. $ 200,000.00 <br />hereby certify that the wording of this letter is identical to the wording specified in subsection 2809.1(d)(1), <br />;hapten 18, Division 3, Title 23 of the California Code of Regulations. <br />declare under penalty of perjury that the foregoing is true and correct to the best of my knowledge and belief. <br />,xecuted at Stockton, CA <br />(place of Execution) <br />)n 07/09/2020 <br />lglatsi' <br />si@ftature) <br />Sandee Dhanda <br />d Name) <br />Man in Member /CEO <br />60a) <br />INFR—iud 491 <br />Gabriela Garcia-Mejia, EHS Page 1 of 9 <br />
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