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COMPLIANCE INFO_2023
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_2023
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Entry Properties
Last modified
8/12/2024 2:00:43 PM
Creation date
5/9/2023 1:08:51 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023
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
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SJGOV\kblackwell
Tags
EHD - Public
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_ report <br /> �..,._rvuNERATOR DESCRIPTION OF FOLLOW-eP ACTIOnce issues from Section 3. <br /> Number the follow up actions to correspond to app p <br /> riaffNameof <br /> /OPERATOR ACKNOWLEDGEMENT OF INSPECTION RESULTS <br /> wed the results of the designated UST operator inspection report and provided a <br /> of the action(s)taken or to be taken to correct any compliance issues discovered. <br /> T Owner/ Operator(print) <br /> UST Owner/Operator Signature Date Signed <br /> 7. INSPECTION HISTORY <br /> Has each follow-up action of Section 3 from the previous Designated UST Yes No NA <br /> Operator Inspection Report been completed appropriately? <br /> Attach documentation verif ing appropriate service to this re ort. <br /> 8. RELEASE DETECTION ALARM HISTORY <br /> Attach a copy of the alarm history report/log to this report. <br /> Yes No NA <br /> Is the monitoring system powered on and in proper operating mode? `❑ <br /> HasFall <br /> larm since the previous inspection been responded to appropriately? ❑ <br /> (Attumentation verifying appropriate service to this report.) ❑ <br /> Havntainment sumps, that have had an alarm since the previousdesiUST operator inspection report, been responded to by a qualified <br /> service technician? <br /> All answers marked "No"must be described by the designated UST operator in Section 3. <br /> Page 2of4 <br />
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