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COMPLIANCE INFO_2020
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231309
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COMPLIANCE INFO_2020
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Last modified
11/30/2020 4:29:03 PM
Creation date
10/8/2020 7:37:50 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2020
RECORD_ID
PR0231309
PE
2361
FACILITY_ID
FA0003756
FACILITY_NAME
KISHIDA, GEORGE INC
STREET_NUMBER
1725
STREET_NAME
ACKERMAN
STREET_TYPE
DR
City
LODI
Zip
95240
APN
06219001
CURRENT_STATUS
01
SITE_LOCATION
1725 ACKERMAN DR
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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Underground Storage Tank <br /> Monitoring System Certification Form <br /> 10. MONITORING SITE PLAN <br /> Facility Address.' 'I -?z 5 l e ke- - ,i D n. <br /> Date site plan was prepared. <br /> if a site plan has been prepared that shows all required information, you may include it, rather than <br /> this page with your Monitoring System Certification Form. The site plan must show the general <br /> layout of tanks and identify locations of the monitoring panel, and all leak detection equipment and <br /> monitoring locations. Including a legend for all symbols depicted. <br /> Atl �Dt-S <br /> Soso- <br /> Of D 0 <br /> .app T <br /> Ag4VII, <br /> 5�s . <br /> Page 9 of 9 <br />
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