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COMPLIANCE INFO_2020
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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PR0543574
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COMPLIANCE INFO_2020
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Entry Properties
Last modified
8/23/2021 10:51:14 AM
Creation date
8/27/2020 2:37:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0543574
PE
2351
FACILITY_ID
FA0024750
FACILITY_NAME
Harney Lane 76
STREET_NUMBER
141
Direction
E
STREET_NAME
HARNEY
STREET_TYPE
LN
City
LODI
Zip
95240
CURRENT_STATUS
01
SITE_LOCATION
141 E HARNEY LN
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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S A J O A Q U I N Environmental Health Department <br /> COUNTY <br /> Underground Storage Tank Program Inspection Report <br /> Facility Name: Facility Address: Date: <br /> 76 FUEL ISLAND&CARWASH 141 E HARNEY LN, LODI July 07, 2020 <br /> -Certification of Financial Responsibility Form <br /> -Letter from Chief Financial Officer Form <br /> -Response Plan Form <br /> -Designated Understanding Storage Tank Operator Identification Form <br /> -Statement of Understanding and Compliance form <br /> -Facility Employee Training Certificate <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: July 07, 2020 Inspector: Inspector Phone: <br /> Printed Name and Title: SHEWIT WOLDEAREGAY, EH Specialist (209)468-0216 <br /> Balwinder Dhanda, Managing Member <br /> FA0024750 PR0543574 SCO01 07/07/2020 <br /> EHD 23-01 Rev.9/20/2019 Page 8 of 8 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 />
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