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COMPLIANCE INFO_2014 - 2018
Environmental Health - Public
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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
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EHD - Public
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10/02/2014 11:56 <br />Af f orda-Test <br />416 2nd Street <br />Galt, Ca. 95632 <br />800 524-9087 <br />Page 212 <br />INVOICE NUMBER <br />F9/26/2014 20401 <br />Afforda-Test pays the State sales tax on parts. City or District taxes or permits are site's responsibility. <br />I ALL ADDITIONAL COPIES OR FAXES OF RESULTS ARE CHARGED $10. PLEASE CALL WITH CREDIT CARD. <br />BILL TO <br />SITE <br />Flag City Chevron <br />Same <br />Attn: Kiu <br />6421 Capitol Avenue <br />Lodi, CA 95242 <br />P.O. No. <br />Site ID # <br />1153-1 <br />ITEM CODE <br />QTY DESCRIPTION <br />EACH <br />AMOUNT <br />ATG <br />Lk Det <br />Spill Buckets WT <br />Annual AQ ISD ... <br />LBR <br />GY 8'B CP VEN <br />W-GY-12" <br />OP H12806M <br />Mise - Pts <br />61VSA-EVR <br />Annual Monitor Certification - 6 UDC or Less <br />3 Leak Detector Test <br />4 Spill Bucket Testing with other Testing ** 991 FAILED <br />Needs Replaced & Retested - TBO** <br />Annual ISD Healy, fncon, Hitt or VST Testing when done <br />@ same time as Annual Environmental Health Tests <br />2 Labor- per hour <br />2 8' Coaxial Premier Plus hose with Venturi <br />2 Whip Hose - Goodyear 12" <br />1 Nipple 4" <br />Miscellaneous Parts OPW Vapor Spill bucket <br />Adaptor - Bronze Swivel - OPW 61VSA-1020-EVR 4" <br />299.00 <br />60.00 <br />50.00 <br />749.00 <br />68.00 <br />212.00 <br />65.00 <br />30.00 <br />496.00 <br />270.00 <br />299.00 <br />180.00 <br />200.00 <br />749.00 <br />136.00 <br />424.00 <br />130.00 <br />30.00 <br />496.00 <br />270.00 <br />*Postmark by 10/12/14 and pay discounted rate of $2834.00 <br />DEC 18 2014 <br />ENVIRONMENTAL HEALTH <br />MANY AGENCIES ARE NOW VIOLATING SITES THAT DO NOT HAVE RESULTS TO THEIR OFFICE WITHIN 30 DAYS OF TESTING. WE <br />DO NOT SEND RESULTS UNTIL PAYMENT HAS BEEN MADE. PLEASE ARRANGE YOUR PAYMENT ACCORDINGLY <br />Credit cards are not accepted on discounted rates. <br />Total $2,914.00 <br />Afforda-Test pays the State sales tax on parts. City or District taxes or permits are site's responsibility. <br />I ALL ADDITIONAL COPIES OR FAXES OF RESULTS ARE CHARGED $10. PLEASE CALL WITH CREDIT CARD. <br />
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