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COMPLIANCE INFO_2015-2018
Environmental Health - Public
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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 Pftngsten Road <br /> Northbrook,Illinois 60062-2096 <br /> (947)272-8800 <br /> FAX No.(847)272-8129 <br /> No <br /> http RECEIVED <br /> Underwriters Laboratories Inc.,i OCT 10 2016 <br /> M R C LEWIS <br /> VESTEM FIBERGLASS IW ENVIRONMENTAL HEALTH <br /> 1555 COPPERHILL PKY P1 <br /> SANTA ROSA CA 95403 Date: 2004/05/13JEART EN <br /> Subscriber: 748378001 <br /> File No: MH19409 <br /> Project No: 049811886 <br /> PD No: 04M19400 <br /> Type: R <br /> PO Niurrber: <br /> subject: Procedure And/Or Report Material <br /> The following material resulting from the investigation tender the above numbers is dosed. <br /> Issue <br /> Date Vo1 see Pages Revised Date <br /> 2946/05/29 1 A Randand Description Page(s) 1,2 2004/04/22 <br /> 1446/05/29 1 1 Now (s) 9 2006/06/22 <br /> 1996/05/29 1 1 FAviand X11UStratign(s) 1 2064/06/12 <br /> 1996/65/29 1 1 New must Record 2 20N/06/22 <br /> Inspections at your plant will be conducted under the supervision of Ron Payne, Area Manager, 1101 <br /> Sylvan Avenue, Shiite C-101, Modesto, CA 95350. PHONE: 1-209-527-0626; FAX: 1-209-527-0947; E-)HAIL: <br /> Rorald.T.Payne@us.ul.can. <br /> Please file revised pages and illustrations in place of material of like identity. New material <br /> shail.d be filed in its proper numerical order. <br /> NOTE: Foliav Up Service Procedure revisions DO Nor include Cover Pages, Rest Records and Ccnclusion <br /> Pages. Report revisions DO NOT include Authorization Pages, Indices, section Geral Pages and <br /> Appenr3i vac, <br /> Please review this material and report any inaccuracies to our Customer Service Professional (PHONE: <br /> 1 877-(AI(ELPS [1-877-854-35771), referring to the above Project and/or PO Numbers. <br /> c: NEK File <br /> uL INSPECTICN CEIM 844 <br /> A not-for-profit organization <br /> dedicated to public safety and <br /> committed to quality service <br />
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