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COMPLIANCE INFO_1985-1998
Environmental Health - Public
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EHD Program Facility Records by Street Name
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KETTLEMAN
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2300 - Underground Storage Tank Program
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PR0231346
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COMPLIANCE INFO_1985-1998
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Last modified
12/15/2023 3:50:07 PM
Creation date
6/3/2020 9:46:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1985-1998
RECORD_ID
PR0231346
PE
2361
FACILITY_ID
FA0003603
FACILITY_NAME
TESORO (SPEEDWAY XP) 68152
STREET_NUMBER
401
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04513019
CURRENT_STATUS
01
SITE_LOCATION
401 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231346_401 W KETTLEMAN_1985-1998.tif
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EHD - Public
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INSTRUCONS FOR COMPLETING F*M "Alt <br /> GENERAL INSTRUCTIONS: <br /> SECTION 2711 C}S=`TFI`I,E 23,CITAP"IER 16,CALIFORNIA C`.f)D €F Rf GULATIC)NS AND SEC:°1 ON` 5286,25287,AND 15289 OF CHAPTER <br /> 6.7,DIVISION 20,CALIFORNIA HFAIJII ASI)SAFETY CODE REQUIRE OWNERS TO APPLY FOR AN UST C)l'I;}t:L`I`ING PIaR1 IT, <br /> 1. One T°'ClRM"A"shall he c sanpleted for all N EW PER UT CHANGES or any FaAC:ILI'I'Y/SITE LNFORMA.T ON CHANGES. <br /> GES. <br /> 2. sumvirr ONLY ONE(1)FORM"A"for a Facility/Site,regardless of the number of tanks located at the site. <br /> 3, This force should be completed by either the PERMIT T'APPLICAN'T'or the LOCAL I GEINC<Y L NI3z?RCBROUND TANK INPEC;`l'0R. <br /> 4. Ylc ase ty re or,print clearly aft requc icd infoonati,an. <br /> 5. Use a hard point writutg iinntr<anana,you are rnrs king 3 c opscs. <br /> 6. Tarik owner angst statxrz it a facility plot plant to the local agency as part of the application showing the location of the UST°s with respect to <br /> buildings;and 1,"n imaarks ISection 2711 (a)(8),CCRJh <br /> 7. Tank owner gn., .submit docusnentad on showing co nptaanm reads st <br />
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