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COMPLIANCE INFO_2015-2018
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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PR0231331
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COMPLIANCE INFO_2015-2018
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Last modified
6/20/2023 2:14:17 PM
Creation date
6/3/2020 9:44:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2015-2018
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_2015-2018.tif
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EHD - Public
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333 Pfingsten Road <br /> Northbrook,lllinois6OD62-2096 <br /> (847)272-8800 <br /> FAX No.(847)272-8129 <br /> httprm*. -m^E= 1VED <br /> Underwriters Laboratories Inc.L., OCT 10 2016 <br /> MR R C LEWIS p t <br /> wES11N FIBERGLASS INC ENViR®LAMENT li_ HEALTH1555 COPPERHILL PKY c® e <br /> SANPA ROSA CA 95403 Date: 2004/05/1DEPARTiV ENT <br /> Subscriber: 748378001 <br /> File No: MH19409 <br /> Project No: 04NB11886 <br /> PD No: 00n9400 <br /> Type: R <br /> PO Number. <br /> Subject: Procedure And/Or Report Material <br /> The following material resulting from the investigation under the above numbers is enclosed. <br /> I>35tbs <br /> Date Vol Sec Pages Revised Date <br /> 1996/05/29 1 1 Pavised D=x=ivtiaa Page(s) 1,2 2063/04/72 <br /> 7996/05/29 1 1 New M+.ftztica(m) 9 2004/04/12 <br /> 1996/05/29 1 1 3Wdsai 311uatzaiicn(s) 1 2004/04/32 <br /> 1996/05/29 1 1 Naw Test Reocad 2 2004/64/12 <br /> Inspections at your plant will be conducted under the supervision of Ron Payne, Area Manager, 1101 <br /> Sylvan Avenue, Shite C-101, Modesto, CA 95350. PHONE: 1-209-527-0626; FAX: 1-209-527-0947; E-MAIL: <br /> Ronald.T.Payne@us.ul.can. <br /> Please file revised pages and illustrations in place of material of like identity. New material <br /> should be filed in its proper numerical order. <br /> NOTE: Follow-Up Service Procedure revisions DO NOT include Cover Pages, Test Records and Conclusion <br /> Pages. Report revisions DD NOT include Authorization Pages, Indices, Section General Pages and <br /> Acii Frac., <br /> Please review this material and report any inaccuracies to our Custaner Service Professional (PHONE: <br /> 1.877-ULHMPS [1-877-854-3577)), referring to the above Project and/or PD Ntanbers. <br /> c: N13K File <br /> UL INSPECTION CEMER 844 <br /> A not-for-profit organization <br /> dedicated to public safety and <br /> committed to quality service <br />
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