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COMPLIANCE INFO_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1900 - Hazardous Materials Program
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PR0520807
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
4/13/2022 1:33:23 PM
Creation date
3/7/2022 11:38:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1900 - Hazardous Materials Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0520807
PE
1921
FACILITY_ID
FA0003776
FACILITY_NAME
KWIK SERV LODI BW 113*
STREET_NUMBER
420
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06202042
CURRENT_STATUS
01
SITE_LOCATION
420 W KETTLEMAN LN
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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RECEIVED VIA EMAIL ON 03-29-2022 <br /> Environmental Health Department <br /> SAN J0AQNIN <br /> Corrective Action Statement <br /> RE: March 03, 2022, Hazardous Materials inspection report <br /> For each violation listed below, indicate if the violation has been corrected or will be corrected by a certain date. Also, <br /> describe what was done to correct the violation in the space provided below each violation. Submit this completed form <br /> with the Return to Compliance Certification within 30 days of inspection. If you have any questions, please contact <br /> Vicky Vang-Loo at(209)616-3028 or vvang-leo@sjgov.org. <br /> KWIK SERV LODI BW 113', 420 W KETTLEMAN LN, CERS ID: 10181407, PRO520807 <br /> Violation#7-Failed to electronically submit an adequate ER procedures for a release or threatened <br /> release. # <br /> Ill. This violation was corrected S This violation will be corrected by(date): 2 Pit Z-&Z L <br /> © Supporting documents included <br /> Describe actions taken or will be taken to correct violation: <br /> r W <br /> Page 3 of 3 <br /> Rev.911612020 <br /> 1868 E. Hazelton Avenue i Stockton, California 95206 1 T 209 468-3420 1 F 209 464-0138 1 www,sjgov,org/EHD <br />
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