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COMPLIANCE INFO_2009-2014
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_2009-2014
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Last modified
1/4/2021 1:20:05 PM
Creation date
6/3/2020 9:44:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2009-2014
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
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2351_PR0231331_975 S FAIRMONT_2009-2014.tif
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EHD - Public
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i <br /> Certification of Completion Certification of Completion <br /> 1 Ij I This is to.certify that This Is to certify.that <br /> QUrh Dowtdy of. - Joseph Bartholdi of <br /> Elite IV Contractors Inc. Elite IM Con ractors Inc. <br /> Has beenFactory Trained and Certified in the Installation of Has been Factory Trained and Certified in the Installation of <br /> Products made by Diversified.Products Manufacturing Inc. Products made by Diversified Products Manufacturing Inc. <br /> 9/612006 4/5/20114/8/2014 41SL2011 4/5/2014 <br /> Date First Certified Date Renewed Date of Expiration Date First Certified Date Renewed Date of Expiration <br /> *'Trained in New Construction Installs "*Trained In New Construction Installs � <br /> •"Trained in Split Repair Authorized Signature "'Trained in Split Repair Aut orzed Signature <br /> '*Trained in Spill Container Repair www.dpm-llc.com '*Trained in Split Container Repair www.dpm-llc.com <br /> Certifi on of Completion <br /> his is to certify that <br /> Jarod Burke of <br /> Elite IV Contractors Inc.. <br /> Has been Factory Trained and Certified in the Installation of <br /> Products made by Diversified Products Manufacturing Inc. <br /> 9/6/2006 4/5/2011 4/512014 <br /> Date First Certified Date Renewed Date of Expiration <br /> "*Trained in New Construction Installs <br /> "Trained In Split Repair Authorized Signature r <br /> "Trained in Spill Container Repair www.dpm-llc.com <br /> p etion <br /> This is to.certify that <br /> n Lanae Juarea of <br /> Elite IV Contractors Inc. <br /> Has been Factory Trained and Certified in the Installation of <br /> Products made by Diversified Products Manufacturing Inc.: <br /> 4/5/2011 4/5/2014 <br /> Date First Certified Date Renewed Date of Expiration <br /> —Trained in New Construction installs <br /> ""Trained in Split Repair `. <br /> p Autiio�liedSignature <br /> ""Trained In Spill Container Repair www.dpm-llc.com <br /> Certification of Completion <br /> This is to certify that <br /> Fred Babel of <br /> Elite IV Contractors Inc. <br /> Has been Factory Trained and Certified in the Installation of <br /> Products made by Diversified Products Manufacturing Inc. <br /> 4/5/2011 4/5/2014 <br /> Date First Certified Date Renewed Date of Expiration <br /> "Trained in New Construction Installs <br /> "*Trained In.Split RepairAuthorized Signature <br /> "Trained in Spill Container Repair www.dpm-llc,.com <br />
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