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COMPLIANCE INFO 2003 - 2008
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231706
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COMPLIANCE INFO 2003 - 2008
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Last modified
6/11/2019 11:42:03 AM
Creation date
4/10/2019 2:41:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2003 - 2008
RECORD_ID
PR0231706
PE
2361
FACILITY_ID
FA0000485
FACILITY_NAME
FLAG CITY CHEVRON
STREET_NUMBER
6421
STREET_NAME
CAPITOL
STREET_TYPE
AVE
City
LODI
Zip
95242
APN
05532024
CURRENT_STATUS
01
SITE_LOCATION
6421 CAPITOL AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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ENVIRONMENTAL HEALTH*I)EPARTMENT <br />PQUIN <br />Donna K. Heran, R.E.H.S. <br />Director <br />Al Olsen, R.E.H.S. <br />Program Manager <br />44:jFi6,t <br />Laurie A. Cotulla, R.E.H.S. <br />Program Manager <br />August 9, 2004 <br />Flag City Chevron <br />Attn: Karen Dinghsa <br />6421 Capitol Avenue <br />Lodi, CA 95242 <br />RE: Flag City Chevron, Lodi CA <br />SAN JOAQUIN COUNTY <br />304 East Weber Avenue, Third Floor <br />Stockton, California 95202-2708 <br />Telephone: (209) 468-3420 <br />Fax: (209) 464-0138 <br />Unit Supervisors <br />Carl Borgman, R.E.H.S. <br />Mike Huggins, R.E.H.S., R.D.I. <br />Douglas W. Wilson, R.E.H.S. <br />Margaret Lagorio, R.E.H.S. <br />Robert McClellon, R.E.H.S. <br />Mark Barcellos, R.E.H.S. <br />San Joaquin County Environmental Health Department (EHD) performed a routine underground storage tank <br />inspection on 6/22/04 at the above referenced site. <br />An inspection report was issued to you along with a request for pertinent information that was necessary in order to <br />bring this site into compliance. You were required to submit this information by 7/22/04. <br />Failure to correct the violations will result in continuing/additional violations. Failure to submit the completed <br />underground storage tank information by 9/10/04 may result in further legal action. <br />The missing information include(s); <br />j Current State Form <br />r Current State Form B <br />L Monitoring and Response Plan <br />C Annual Line Tightness Test Results <br />Submit Certification of financial responsibility <br />and letter from the chief financial officer <br />17 Annual Line Leak Detector Results <br />R Annual Monitoring Certification <br />F- Maintenance and Monitoring Log <br />17'Pennit submitted to repair/replace failed equipment <br />Subrnit secondary containment test results <br />Most forms may be accessed from our web site address, tia�,w.geocities.comhtnitiii. <br />I don't believe these tests have been performed. I have-not receiv;d the results if they have been done. Also submit <br />a permit for the replacement of the sensor from the dispenser, damaged during the fire. All secondary containment <br />must be continuously monitored. <br />If you have any questions, please call Dennis Catanyag R.E.H.S. at (209) 468-3459. <br />Sincerely, <br />2nis Cata�,IHB <br />Senior Registered Environmental Health Specialist <br />
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