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COMPLIANCE INFO_2009-2015
Environmental Health - Public
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EHD Program Facility Records by Street Name
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LOCKEFORD
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2300 - Underground Storage Tank Program
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PR0231350
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COMPLIANCE INFO_2009-2015
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Last modified
12/13/2023 1:38:11 PM
Creation date
6/3/2020 9:47:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2009-2015
RECORD_ID
PR0231350
PE
2361
FACILITY_ID
FA0003690
FACILITY_NAME
LODI FOOD & LIQUOR*
STREET_NUMBER
1225
Direction
W
STREET_NAME
LOCKEFORD
STREET_TYPE
ST
City
LODI
Zip
95240
APN
03710002
CURRENT_STATUS
01
SITE_LOCATION
1225 W LOCKEFORD ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231350_1225 W LOCKEFORD_2009-2015.tif
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EHD - Public
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V. <br />�a,anrurc r q+rcece®r � <br />Ff <br />CRECKitBiLLIMaAl bmsfAxrfYNAK <br />Accaart_o�r_ <br />EMPLOYEE?: <br />DATE: <br />ASSIGNED TO: <br />EAUWYEE M j4 . <br />DAM <br />HOME or MAMIG AD,p SS Of ]DWO S from 31W Rddces* <br />SeRvaCos PIE: . <br />Fee Amour4t t Amount Paid <br />Strad N <br />1:04 <br />Payment Type r ' tmoke # <br />CITY <br />MATE ZIP <br />I pmofifi 01 E' <br />APN 0 <br />Wm USE APFur.A 0Fi # <br />PHouF;92 Es& <br />® D�sfaer <br />LCCartOkCOD� <br />CONTRACTOR / SERVICE REQUESTOR <br />U� <br />CM&Xlf DIUMACIMISR <br />BUSINJESS NAMl 6 / PltRrtS �Y , <br />iiow orprLalcG ESS , FAX <br />�3 is6 s7s _[ / <br />CITY 'i STATLTt ZIPl. <br />BILLINO A4R" WLEDGEMEAT: I, die undersigned property or butiiuw uwFrer, wrater or authorked agent of Sadie <br />acknowledge that all site and/or ptojett s itiC ENVikONIKE VIAL HE;A._rH DrPAR1VUNT hcu -ly ;Jiarges associated with this project <br />of activity will be bilW to tReCr baSiurss as idetltiiii i on this fou°a. <br />1 also certify t:w l have preparod this appliatios. and that the work to be performed wil: be done in accurdalnce with all SAN JQAs'llJiN <br />CuC° .Tf Ursnanue Codes, Standards FFDEdiAL• taws. <br />APl'T ECAisiT' SIGNATUR - ,�_ , DAU: <br />Aot� ry I rhe S ts!aEx Q • A 1'OR / . -1A0K t OTIM At r ko l;egn Aqu - C3 <br />ER SUS O� <br />1 APPL1C4.a7 fS Mol the 81L,:;?vGPAP.TY, proof Sign I.s requIred � ritie <br />A!3T'FiQR1?A1'10h4 TO RELEASE il'stf+OR!v{A'LIQN. When appli�:tabte, !, the the Prollerty (Ocated at the <br />site siddress, hereby authorize th t rcimite •)f arta and all results. aeciech,aicai datzf ai:dear � � Irgnnu nLe!/s:ti• as,e�si;q�nt <br />i-tf2r1Y;ME011 #7 ft SAN JQAOI;! & CO I,,TV ENvJ Z0N1NtCNT,,Ns. Hl -.41;r!) DM'AATM.i,-R' A$ eenn ::s ;t i3 a4t:i!able and At the Mlac time it l: <br />prcti•sded to me or my repri sedativer; 4- N t <br />Type of SER4icE REG ED: <br />1- <br />Accaart_o�r_ <br />EMPLOYEE?: <br />DATE: <br />ASSIGNED TO: <br />EAUWYEE M j4 . <br />DAM <br />Date Service Complabd (lf already comNated}. <br />SeRvaCos PIE: . <br />Fee Amour4t t Amount Paid <br />S <br />1:04 <br />Payment Type r ' tmoke # <br />Check Al r f ;:�. �` i .' <br />EHD 48.02-025 Sly FORM (Gdden Rod) <br />R1=ASED "1/171 13 <br />Td Wd8E : Z0 600E M ' q'ad VOG Z L88GOE Z : 'ON Xdd wnTlOaldd -1U I OaEWWO3 HISS I UM : WO�Id <br />
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