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COMPLIANCE INFO_2022
Environmental Health - Public
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EHD Program Facility Records by Street Name
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KETTLEMAN
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1111
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2300 - Underground Storage Tank Program
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PR0506724
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
9/20/2022 8:27:59 AM
Creation date
5/19/2022 11:35:22 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0506724
PE
2361
FACILITY_ID
FA0007594
FACILITY_NAME
WINE COUNTRY STATION/7-ELEVEN
STREET_NUMBER
1111
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04931056
CURRENT_STATUS
01
SITE_LOCATION
1111 E KETTLEMAN LN
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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1111 E. Kettleman, Lodi, CA 95240 PR0506724 <br /> 06/15/2022 Program: UST <br /> PHOTO 4: <br /> 5/27/22 desi nated o erator inspection report has incorrect overfill date (page 4) <br /> Underground Storage Tank <br /> Designated UST Operator Visual Inspection Report <br /> 10. TESTING AND MAINTENANCE Yes No NA bate cast / <br /> 'Performed <br /> Has monitoring system oertification been completed within the past <br /> 12 months? ❑ 06-16-2021 <br /> Has spill container testing been completed within the past <br /> 12 months? ❑ 06-16-2021 <br /> Has overfill prevention equipment inspection been completed within <br /> the past 36 months? ❑ ❑ 0641-2021 <br /> Has secondary containment testing been completed within the past <br /> 36 months? ❑ ❑ 12-22-2020 i <br /> Has tank tightness testing been completed within required <br /> timeframes? ❑ ❑ <br /> Has line tightness testing been Completed within the required <br /> timeframes? ❑ [j <br /> Other Test/Maintenance: 13Other Test/Maintenance; ❑ ❑ ❑ <br /> Other Test/Maintenance: ❑ <br /> 11. _FACILITY EMPLAYEE TRAINING ❑ <br /> Have all individuals performing facility employee duties received the required facility Yes No <br /> employee training within the past 12 months? <br /> 13. COMMENTS � ❑ I �' <br /> This section maybe used to record comments or ob <br /> deficiencies.-tions that are not current compliance <br /> i <br /> t <br /> I <br /> i <br /> ASI answers k <br /> mared No" <br /> ,t must be describer/n..th„ ,__: ---- <br /> VICKY VANG-LEE, REHS Page 4 of 4 <br />
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