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EHD Program Facility Records by Street Name
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BLACK DIAMOND
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2200 - Hazardous Waste Program
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PR0522356
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BILLING
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Last modified
1/27/2021 10:17:58 PM
Creation date
10/31/2018 10:20:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
BILLING
RECORD_ID
PR0522356
PE
2221
FACILITY_ID
FA0012373
FACILITY_NAME
JASON NEWELL
STREET_NUMBER
1108
STREET_NAME
BLACK DIAMOND
STREET_TYPE
WAY
City
LODI
Zip
95240
APN
04918019
CURRENT_STATUS
02
SITE_LOCATION
1108 BLACK DIAMOND WAY #B
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\B\BLACK DIAMOND\1108\PR0522356\BILLING\BILLING.PDF
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EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMEN'T <br /> 304 E.Weber Avc.,Third Floor•Stockton,CA 95202-2708 • Phone(209)468-3420 <br /> Donna Heran, R-F—H.S., Director <br /> ENVIRONMENTAL HEALTH <br /> JAQUIN RAGENCY <br /> PERMIT TO OPERATE <br /> Program Permit Permit <br /> Record ID Number Program Code and Description Valid _ <br /> PR0522356 PT0015102 2221 -SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY(Used Oi 1/1/2004 To 12/3112004 <br /> Hazardous Waste Generator Program: <br /> In order to maintain the permit to operate,Hazardous Waste Generators shall comply with California Health and Safety Coca,Div.20,Chap.6.5,Art.2-13, <br /> Sec.25100 et seg,and Title 22,Califomia Code of Regulations,Chap.20,_.____ <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: MOBIL OIL'N LUBE <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility. MOBIL OIL IN LUBE rsosrylD FA0012373 <br /> 1108 BLACK DIAMOND WAY A--,ID AR0020227 <br /> LODI, CA 95240 4/1/2004 <br /> Billing Address: <br /> MOBIL OIL IN LUBE <br /> P.O. BOX 266 <br /> LODI, CA 95241 <br /> 7023.tpt <br />
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