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BILLING_PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2800 - Aboveground Petroleum Storage Program
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PR0527197
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BILLING_PRE 2019
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Entry Properties
Last modified
5/31/2019 3:45:14 PM
Creation date
9/21/2018 4:09:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2800 - Aboveground Petroleum Storage Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0527197
PE
2220
FACILITY_ID
FA0016523
FACILITY_NAME
RALEYS FUEL STATION #356
STREET_NUMBER
4219
Direction
E
STREET_NAME
MORADA
STREET_TYPE
LN
City
STOCKTON
Zip
95212
APN
12429017
CURRENT_STATUS
01
SITE_LOCATION
4219 E MORADA LN
P_LOCATION
01
P_DISTRICT
004
QC Status
Approved
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EJimenez
Tags
EHD - Public
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t <br />C O R R E C T E D <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />600 E. Main St. a Stockton, CA 95202-3029 • Phone (209) 468-3420 <br />Donna Heran, RE.H.S., Director <br />ENVIRONMENTAL HEALTH <br />SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br />- PERMITTO OPERATE <br />Program Perini[ Permit <br />Record ED Number and Descnpnon Valid <br />PRA527197 PT0019 15 2220 -SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 6/512007 To 1213112007 <br />In order to maintain the permit to operate,, Hazardous Waste Generators shall comply with California Health and Safety Code Div. 20 Chap. 6.5, Art. 2-13, <br />Sec. 25100 at se ,and Title 22, California Code of Regulations, Chap 20----------------------------------------------------- - ___ - ______ -------.----, <br />PR0524617 2300 - UNDERGROUND STORAGE TANK FACILITY <br />Underground Storage Tank Program: _ <br />U 14k A. A eget., rnAn nht 7n than R 7 and Title 23. California Code of <br />To 12/31/2007 <br />coot <br />2350 2 ; 90005246170515788 PT0016812 12,000 - REGULARUNLEADED Active, billable DOUBLE WALLED Contimroua Interstitial Monitoring <br />2350 3 90005246170515789 PT0016814 10,000 DIESEL Active, billable DOUBLE WALLED Continuous Interstitial Monitoring <br />iu IWII! <br />Undergroul d Storage Tank Permit Conditions - <br />I ) The Permit to rate will become void if Annual Permit Fees and Service Fees are not paid and/or the UST system(s)fails to remain in compliance with these Permit Conditions. <br />2) In order to maintainthe operating permit, the ownerand operator shall comply with the H&S Code, Div. 20, Chap. 6.7 and 6.75; and CCR Title 23, Chap. 16 and 18, aswell as goy conditions <br />established by S" Joaquin County. - <br />3) If the Tank Operators) is different from the Tank Owner, or if the Permit to Operate is issued to a person other than the owner or operator of the tank, the Pcmutice shall ensure that both <br />the Tank Owner and tank Operator receive a copy ofthe permit. - <br />4) Written Monitoring Procedures and an Emergency Response Plan most be approved by the Environmental Health Department (ELID)and are considerenl UST Permit Candidate. The approved <br />monitoring, response, and plot plans shall be maintained onsite with the permit. <br />5) The Pemtinee shall comply with the monitoring procedmesreferenced in this permit.. <br />6) The Perminee all perform testing and preventive maintenance on all leak detection monitoring equipment annually, or more frequently if specified by the equipment manufacturer and <br />provide docum matron of such servicing to this office. <br />7) In the event of spill, leak, or other unauthorized release, the Permitee shall comply with the requirements of Title 23 CCR, Chap. 16; An, 5, and the approved Emergency Response Plan. <br />g) Written records of all monitoring performed shall be maintained ou-site by the operator and be available for inspection for a period -of at least three years from the date the monitoring was <br />performed - - <br />9) The EHD shall I c notified of mychange in ownership or operation ofthe UST system within 30 days of such change. <br />10) Uponany chml c in equipment, design or operation ofthe LIST system (including change in tank contents: or usage), the Permit to Operate will be subject to review, modification or <br />revocation. - - <br />11) Construction, reah and/or removal permits are required from the EHD prior to any change, repair or removal of UST system equipment <br />12) The Permittee s all submit an ammal.report dmumenting compliance with the UST Permit Conditions within 30 days ofthe date ofthe issuance oftbis permit. <br />13) This Permit to. perate shall not be considered permission to violate any laws; ordinances or statutes of any other Federal, State or Local agency. <br />14) A "Conditional Permit may be revoked if corrections specified on the inspection report arc. not completed by the date(s) indicated. <br />PERMITS TO OPERATE me NOT TRANSFERA 3L] <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: RALEYS <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facil!14., RALEY'S FUEL STATION #356 Pace ity lD FA0016523 <br />4219 E MORADA LN Acmunt ID AR0029109 <br />STOCKTON CA 95212 Issued 7124/2007 <br />Billing Addres : -ATTN :-RALEY'S <br />RALEY'S FUEL STATION #356 <br />500 W CAPITOL AVE <br />SACRAMENTO CA 95605 <br />702B.rpt - <br />
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