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BILLING PRE 2019
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2300 - Underground Storage Tank Program
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PR0231405
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BILLING PRE 2019
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Entry Properties
Last modified
2/29/2024 1:16:56 PM
Creation date
10/26/2018 2:04:44 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231405
PE
2361
FACILITY_ID
FA0003164
FACILITY_NAME
NORTH POLE GAS & FOOD INC
STREET_NUMBER
574
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
574 W GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
KBlackwell
Tags
EHD - Public
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SAN J0 ,,1UIN COUNTY PUBLIC HEALTH#RVICES <br />304 E. WEBER AVE., THIRD FLOOR • STOCKTON, CA 95202 • PHONE (209) 468-3420 <br />KAREN FURST, M.D., M.P.H., HEALTH OFFICER <br />DONNA RERAN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br />ENVIRONMENTAL HEALTH <br />SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br />PERMIT TO OPERATE <br />Program Permit Permit <br />Record ID Number Program Code and Description Valid <br />PR0231405 2306 DERGROUND STORAGE TANK FACILITY 1/1/01 To 12/31/01 <br />Underground Storage Tank Program: <br />Califomia Health and Safety Code Div_ 20, Chap_ 6.7 and Title 23 Califomia Code of Regulations Chap. 16_ <br />2360 9 390002314050515334 PT0010813 10,000 PREMIUM UNLEADED Active DOUBLE WALLED INTERS IIAL MUNI IUK <br />2362 8 390002314050515333 PT0010812 15,000 REGULAR UNLEADED Active DOUBLE WALLED INTERSTITAL MONITOR <br />Underground Storage Tank Permit Conditions <br />1) The Permit to Operate 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 <br />Conditions. <br />2) In order ta maintain the operating permit, the permit holder shall comply with the H&S Code, Div. 20, Chap. 6.7 and 6.75; and CCR, Title 23, Chap. 16 and 18, as well as <br />any conditions established by San Joaq uin County. <br />3) If the Tank Operator(s) is different from the Tank Owner, or if the Permit to Operate is issued to a person other than the owner or operator ofthe tank, the Permittee shall <br />ensure that both the Tank Owner and tank Operator receive a copy ofthe permit. <br />4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Division (PHS/EHD) and are considererd UST Permit <br />Conditions. Copies ofthe Procedures and Emergency Response Plan must be attached to this permit or be available for review and/or inspection at the UST site. <br />5) The Permittee shall comply with the monitoring procedures referrenced in this permit. <br />6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually, or more frequently if specified bythe equipment <br />manufacturer, and provide documentation ofsuch servicing to this office. <br />7) In the event of a spill, leak, or other unauthorized release, the Permilee shall complywith the requirements of Tile 23 CCR, Chap. 16, Art. 5, and the approved Emergency <br />Response Plan. <br />8) Written records of all monitoring performed shall be maintained on-site bythe operatorand be available for inspection fora period of at least three years from the date the <br />monitoring was performed. <br />9) 'Be PHS/EHD shall be notified of any change in ownership or operation ofthe UST system within 30 days of such change. <br />10) Upon any change in equipment, design or operation ofthe UST system (including change in tank contents or usage), the Permit to Operate will be subject to review, <br />modification or revocation. <br />11) Construction, repair and/or removal permits are required from the PHS/EHD prior to any change, repair or removal of UST system equipment. <br />12) The Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days ofthe anniversary date ofthe issuance ofthis permit. <br />13) This Permit to Operate 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 are not completed by the date(s) indicated. <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: SINGH, SATNAM/GILL JOGINDER <br />DBA: GET N GO MART <br />Tank Owner: SINGH, SATNAM <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: TRACY GET N GO MART <br />574 W GRANT LINE RD <br />TRACY. CA 95376 <br />Billing Address: ATTN : S SATNAM/J GILL <br />TRACY GET N GO MART <br />574 W GRANTLINE RD <br />TRACY, CA 95376 <br />7023.rpt <br />Facility ID FA0003164 <br />Account ID AR0004953 <br />Issued 3/29/2001 <br />
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