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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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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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09/16/2014 05:59 1209_- -873 FLAGCITY CHEVRON PAGE 10/11 <br />CGUNTY ENVIRONMENTAL MANAGEMENT <br />Agreement Between Owner -and Operator <br />For Operation of Underground <br />Storage Tanks <br />,.' [ %�— , owner of the Underground <br />1, / <br />Storage Tanks, located at 71n <br />tui city of <br />(* County of Sq.,fa,,�ww�,State of <br />"`, <br />California, have entered into this written Contract with <br />the operator of the above facility, to fulfill a requirement of my Permit to Operate. <br />Owner has provided the Operator with a copy of the Permit to Operate. <br />I, W � t j ( p4,1 /—,0 k-,-- , the operator of the Under- <br />ground Storage Tanks located at the above stated address have received, from the owner, a <br />copy of the Permitto Operate. shave read andurlderstand my responsibilities as operator under <br />this permit and agree to do the following: <br />• Monitor the underground tanks as specified in. the Permit to Operate. <br />• Maintain appropriate records as required by the Permit to Operate. <br />• Implement all reporting procedures as -required by the Permit to Operate. <br />Signator <br />Date: <br />Owner of the Underground Storage Tanks <br />���l�hTcd <br />6�fo�a <br />
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