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COMPLIANCE INFO_PRE 2019
Environmental Health - Public
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2200 - Hazardous Waste Program
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PR0514476
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COMPLIANCE INFO_PRE 2019
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Last modified
9/30/2020 1:16:49 PM
Creation date
9/29/2020 3:59:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
PRE 2019
RECORD_ID
PR0514476
PE
2229
FACILITY_ID
FA0010973
FACILITY_NAME
JIFFY LUBE #2322
STREET_NUMBER
500
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06208002
CURRENT_STATUS
01
SITE_LOCATION
500 E KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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San Joaquin County DIRECTOR <br /> Environmental Health Department <br /> .0Donna Heran,REHS <br /> O ASSISTANT DIRECTOR <br /> 600 East Main Street Laurie Cotulla, REHS <br /> Stockton, California 95202-3029 PROGRAM COORDINATORS <br /> • Mike Huggins,REHS, RDI <br /> .. Margaret Lagorio,REHS <br /> g4.i;E'i\ Website: www.sjgov.org/ehd Robert McClellon, REHS <br /> Phone: (209)468-3420 Jeff Carruesco, REHS, RDI <br /> Fax: (209) 464-0138 Kasey Foley, REHS <br /> April 24,2009 <br /> Donald Fowler,Owner c/o Daniel Simonson,Assistant Manager <br /> Broadbase INC dba Jiffy Lube <br /> 500 E Kettleman Ln. <br /> Lodi,CA 95240 <br /> RE: Jiffy Lube#2322 500 E.Kettleman Ln. Lodi CA 95240 <br /> San Joaquin County Environmental Health Department(EHD)performed a routine underground storage tank <br /> inspection on November 17,2008 at the above referenced site. <br /> An inspection report was issued identifying information to be submitted to bring this site into compliance.This <br /> information was required to be submitted by December 17,2008.Not all of the requested information has been <br /> received resulting in a non-compliant status for this facility. <br /> Failure to correct the violations will result in continuing/additional violations. <br /> Note: All EHD staff time associated with failing to comply,including the issuance of this letter,is billed at the <br /> current hourly rate($105). Failure to submit the completed information immediately may result in a re- <br /> inspection or further legal action. <br /> The missing information includes: <br /> r Current UST Facility form(former Form A) i— Current UST Tank form(former Form B) <br /> �— Annual monitoring certification,leak <br /> r Recordable Release Statement detector and spill bucket test results <br /> I— Current Monitoring and Response plans F Maintenance and monitoring logs <br /> I— Certification of Financial Responsibility and Letter r Permit submitted to repair or replace failed <br /> from Chief Financial Officer equipment <br /> F Designated Operator employee training records (— Statement of Designated Operator <br /> r Certification of Return to Compliance(Signed and w Statement of how each violation was or will <br /> dated) be corrected <br /> Most forms may be accessed from our web site address,www.geocities.com/unitiii. If you have any questions, <br /> please call Aris Cacapit,EHS at(209)468-3453. <br /> Sincerely, <br /> Aris Cacapit,EHS <br /> Environmental Health Specialist <br />
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