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COMPLIANCE INFO_2025
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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KETTLEMAN
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2300 - Underground Storage Tank Program
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PR0231906
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COMPLIANCE INFO_2025
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Entry Properties
Last modified
3/11/2026 7:47:40 PM
Creation date
1/16/2025 2:01:32 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2025
RECORD_ID
PR0231906
PE
2361 - UST FACILITY
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
Active, billable
QC Status
Approved
Scanner
SJGOV\kblackwell
Supplemental fields
Site Address
420 W KETTLEMAN LN LODI 95240
Tags
EHD - Public
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u <br /> rot, rev <br /> Fgci�, eij �ry .q • <br /> CE,9S/p ryNFp Q t��/7�r9�O Ape�iv. <br /> i <br /> Underground Storage Tank <br /> Monitoring System Certification Form 46 <br /> gr4509 TESTING RESULTS <br /> usonly sensors tested on date of this certification. List "Sensor ID"as labeled in system <br /> t <br /> mot ,rning. Additional copies of this page may be attached to accommodate all sensors tested. <br /> or ID Sensor Model Component(s) Monitored -� <br /> Sen Pass Fail <br /> VR 208 87 STP ® ❑ <br /> L2 VR 208 DSL STP <br /> i <br /> L3 VR 208 91 STP ® ❑ ' <br /> L4 VR 208 E-85 STP El <br /> /y 1-6 VR 409 87-91 ANN ® ❑ <br /> fjq ecro�' DISP 1_9 VR 208 1-2 <br /> \; LIO VR 208 DISP 3-4 ® ❑ <br /> L11 VR 208 DISP 5-6 ® ❑ <br /> L12 VR 208 DISP 7-8 ® ❑ <br /> /C <br /> c� 9r/O Lb VR 323 DISP 9-10 <br /> Z. <br /> ® ❑ <br /> ti <br /> s45; �''a� E L14 VR 420 WO ANN ® ❑ <br /> s� a� 1-15 HI LIQ FLOAT HI LIMIT ® ❑ <br /> 4 C1 VR 364 E-85/DSL,ANN ❑ <br />,9 ❑ ❑ <br /> ti <br /> l%FgG oil ❑ ❑ <br /> plc ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> ❑ ❑ <br /> Describe all answers marked "No"or"Fail"and proposed remedy in Section 9. <br /> List all monitoring equipment either replaced or repaired in Section 9 <br /> Page 3 of 6 <br />
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