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COMPLIANCE INFO_2020
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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PR0231331
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COMPLIANCE INFO_2020
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Last modified
3/4/2021 7:40:29 AM
Creation date
6/1/2020 11:51:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0231331
PE
2351
FACILITY_ID
FA0000513
FACILITY_NAME
LODI MEMORIAL HOSPITAL
STREET_NUMBER
975
Direction
S
STREET_NAME
FAIRMONT
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
03107039
CURRENT_STATUS
01
SITE_LOCATION
975 S FAIRMONT AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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Elite IV Contractors <br /> RECEIVED <br /> r Lb 0 5 2020 <br /> Date: 02/05/2020 ENVIRONMENTAL HEALTH <br /> F)E'PARTMENT <br /> Date Work Completed 2/05/20 <br /> Site: Lodi Memorial Hospital 975 S Fairmont Ave Lodi CA 95240 <br /> Scope of work: No Vac & Sensor Fault Alarm—replaced failed vac sensor, like for like <br /> on Fuel Oil Return Line <br /> V/R Part #330020-463 <br /> Tech—Chris Adams Veeder-Root B43531 Exp 10/9/21 <br /> ICC Certification: UST Service Tech ICC8230218 4/17/20 <br /> Phn: 209.461.6337 Fax: 209.461.6342 2535 Wigwam Dr. Stockton,CA 95205 <br /> Email: carrie@eliteiv.com <br />
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