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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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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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Ethanol <br /> Manufacturer's Affirmative Statement of Compatibility <br /> (As required by California Code of Regulations section 2631 (k)) <br /> Manufacturer: Bravo (S . Bravo Systems , Inc . ) <br /> Corporate BRAVO <br /> Headquarters 2929 Vail Ave , Commerce , CA oie) <br /> Address : PROBLEM SOLVED <br /> Phone : 323-888-4133 1800-AT-BRAVO www. sbravo . com <br /> Email : compatibilityCd sbravo . com <br /> I declare , to the best of my knowledge and belief, that this affirmative statement of compatibility and the information contained herein is true , <br /> correct , and complete . <br /> Jonathan Smith Director <br /> Print Name Title <br /> _� <br /> 10 - 2t W <br /> JV6ufacturer' s A ignatu Date <br /> ❖ Please complete and submit form to Cory Hootman of the SWRCB at chootmanawaterboards . ca. g. 4/2012 <br />
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