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COMPLIANCE INFO_2014 - 2018
Environmental Health - Public
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EHD Program Facility Records by Street Name
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C
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CAPITOL
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6421
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2300 - Underground Storage Tank Program
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PR0231706
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COMPLIANCE INFO_2014 - 2018
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Last modified
6/11/2019 2:30:29 PM
Creation date
4/10/2019 4:46:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2014 - 2018
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
Scanner
KBlackwell
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EHD - Public
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I%a 18 14 02:13p Elitp Iv Contractors Inc 2094616842 <br />2535 WIGWAM OR, <br />STOCKTON, CA 95205 <br />PHN (209) 46+1.6337 <br />FAX (209) 461-6342 <br />ELITEIV a@SBCGLOBAL,NET <br />Fax <br />p.1 <br />RECEIVED <br />DEC 18 2014 <br />ENVIRONMENTAL HEALTH <br />T"' Aris Veloso, From: Kimberly White DEPABIMENT <br />Fax: (209) 468-3433 Pages: 3 <br />Phone: (209) 468-3453 Kato: Nov. 2014 <br />Re: Form "C" <br />cc: <br />X Urgent 0 For Review 0 Please Comment 0 Please Reply 0 Please Recycle <br />• Comments: <br />Hi Ads V, <br />SR# 0070859 Flag City Chevron located at 6421 Capitol Ave. in Lodi <br />To follow this cover page is the required Form "C to close the above SR#. & Spill <br />Bucket Test Report Form. Elite IV Contractors met Monday, November 10, 2014 at <br />1.30PM with you on site to inspect the 91 spill bucket & conduct a one hour <br />Hydrostatic test an the newly installed bucket & received passing results. <br />Regards, <br />Kimberiy White <br />Representative <br />Elite IV Contractors, Inc_ <br />2535 Wigwam Dr. <br />Stockton, CA 95205 <br />Phn 209.461.6337 <br />Fax 209.461.6342 <br />eliteiv@sbcglobal.net <br />
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