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SHAUNEnvironmental Health Department <br /> COUNTY <br /> Under r d Storage3Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> LODI MEMORIAL HOSPITAL 975 S FAIRMONT AVE, LODI October 26, 2017 <br /> and tank forms. <br /> Document received: Return to compliance certification forms. <br /> AFTER THE COMPLIANCE DATE,EHD WILL BILL FOR ALL TIME AND ACTIVITIES ASSOCIATED WITH BRINGING <br /> THIS FACILITY BACK INTO COMPLIANCE. <br /> THIS FACILITY IS SUBJECT TO REINSPECTION AT ANY TIME AT EHD'S CURRENT HOURLY RATE. <br /> Received by: Date: October 26,2017 Inspector: Inspector Phone: <br /> Printed Name and Title: BETTY HO, EH Specialist (209)468-3455 <br /> 4�;4/4ndy Roehrich, Maintenance Manager <br /> FA0000513 PR0231331 SCO01 10/26/2017 <br /> EHD 23-01 Rev.09/22/16 Page 5 of 5 Underground Storage Tank Program OIR <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />