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COMPLIANCE INFO_2009-2014
Environmental Health - Public
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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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11 <br />416 2nd Street <br />Galt, Ca. 95632 <br />800 524-9087 <br />FAX 209 744-0116 <br />INVOICE NUMBER <br />F, 14039 <br />Afforda-Test pays the State sales tax on parts. City or District taxes or permits are site's responsibility. <br />Credit cards are not accepted on discounted rates. <br />ALL ADDITIONAL COPIES OR FAXES OF RESULTS ARE CHARGED $10. PLEASE CALL WITH CREDIT CARD. <br />BILL TO <br />SITE <br />Lodi Memorial Hospital <br />975 S. Fairmont Street <br />Randy: Maintenance Supervisor <br />Lodi CA <br />POB 3004 <br />Lodi, Calif. 95241-1908 <br />P.O. No. <br />Site ID # <br />1450-1 <br />ITEM CODE <br />QTY <br />DESCRIPTION <br />EACH <br />AMOUNT <br />Annular <br />1 <br />Secondary Containment Tank Annular <br />150.00 <br />150.00 <br />Scnd Pipe <br />2 <br />Secondary Containment Secondary Pipe Test (Interstital <br />125.00 <br />250.00 <br />Line) <br />Pipe Sump <br />1 <br />Secondary Containment Piping Sump Test (Turbine or <br />125.00 <br />125.00 <br />Suction) <br />*Postmark by 10/31/11 and pay discounted rate of <br />$500.00 <br />"MANY ANY ACEN(JES ARE NOW `'IOI..AT'INC. SI'Z'ES 'rllATDO NOT EIAVE RESl_'l..TS'I O T1IElR OFI,'tf:'I ®lT HIN 30 DAYS OF <br />TES FINC. WE DO NOT" SEND I'N`HI_ PAY`lEN'T' IIAS BEEN MADE. PLEASE: ARRANGE YOl'R PAYMENT A(VOIIDIN{.LY <br />(allow foe mail time).** <br />Total $525.00 <br />Afforda-Test pays the State sales tax on parts. City or District taxes or permits are site's responsibility. <br />Credit cards are not accepted on discounted rates. <br />ALL ADDITIONAL COPIES OR FAXES OF RESULTS ARE CHARGED $10. PLEASE CALL WITH CREDIT CARD. <br />
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