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COMPLIANCE INFO_2023
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231906
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COMPLIANCE INFO_2023
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Entry Properties
Last modified
12/28/2023 11:26:19 AM
Creation date
1/10/2023 9:09:07 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
RECORD_ID
PR0231906
PE
2361
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\bmascaro
Tags
EHD - Public
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PR0231906—420 W Kettleman Ln, Lodi Inspection Checklist January 18, 2023 <br /> SAN I O h n I �I N Environmental Health Department <br /> C c)u ,NFITI}YU-11 Y <br /> Underground Storage Tank Program inspection Report <br /> Date: <br /> Facility Name: Facility Address: Cl <br /> YY�� ,2YV �OC�i W 1\3 X20 W e n <br /> Other Violations �v R o cos <br /> 2010 See below Unlisted General violation <br /> SUMMARY OF VIOLATIONS <br /> (CLASS I,CLASS Il,or MINOR-Notice to ComPly) <br /> Item# Remarks <br /> Overall Inspection Comments: <br /> Ar Rr,sped n Ghec���s'r W GrS p rc��/ dna �o r w t1 <br /> ol�erak-U,- cr} A%-,e -Wrnec�exA- <br /> p ns�ec�zor,o � irs> cc' <br /> 1 Prov,de a Com��ete r eprxt- A-Q -kk� -�C et•i N"4 <br /> aF <br /> . c <br /> AFTER THE COMPLIANCE DATE,EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br /> THIS FACILITY BACK INTO COMPLIANCE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHUS CURRENT HOURLY RATE. <br /> Received by: nate: Inspector: Inspector Phone: <br /> 3w) I lazy <br /> Printed Name and Title: <br /> Emc,� o <br /> Page 4 of 4 Urndorgrotmd Storage Tank Program OiF <br /> 9868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjgov-orgIEND <br /> ',In. --, i <br />
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