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BILLING_PRE 2019
EnvironmentalHealth
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PR0513728
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BILLING_PRE 2019
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Entry Properties
Last modified
1/9/2019 11:35:51 AM
Creation date
11/1/2018 10:59:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
BILLING_PRE 2019
FileName_PostFix
PRE 2019
RECORD_ID
PR0513728
PE
2220
FACILITY_ID
FA0003633
FACILITY_NAME
ARCO 07049
STREET_NUMBER
800
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
Ln
City
Lodi
Zip
95240
APN
06206042
CURRENT_STATUS
01
SITE_LOCATION
800 E Kettleman Ln
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\K\KETTLEMAN\800\PR0513728\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
3/7/2018 5:11:38 PM
QuestysRecordID
3821415
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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✓ • SAN JOAtN COUNTY PUBLIC HEALTH SWICES <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 HERRN,R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH COPY <br /> SAN JOAQUIN COUNTPERMITIFI OPUNIFIED ERATE PROGRAM AGENCY <br /> errmt <br /> Valid <br /> rogram Program Code and Description <br /> Record lD Number g 111100 To 12131100 <br /> R051372 F-T0009923 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY <br /> Hazardous Waste Generator Program: <br /> 20. <br /> 6.5,Art.2-13 Sec.- -- -----et <br /> California Health and Safety Code Div.20,Chap. and Title 22 California Code of Regulations,Chap_7 1100 To 12131100 <br /> 0 <br /> R023134 2300-UNDERGROUND STORAGE TANK FACILITY <br /> Underground Storage Tank Program: <br /> - - -- - <br /> California Health and Safety Code Drv_20,Chap_6.7 and Title 23 California Code of Regulahonrmi_Chap. <br /> us __ - - ---- - - - <br /> or ermi lap r y on en <br /> " ive <br /> 2�50u IV <br /> 2360 9 390002313490134909 PT0003884 10,000 <br /> UNLEADED Active <br /> 2360 8 390002313490134908 PT0003883 10,000 UNLEADED Active <br /> UNLEADED Active <br /> 2360 7 390002313490134907 PT0003880 10,000 <br /> BOE ID#: 44-000506 <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 systems)fails to remain in compliance with <br /> these Permit Conditions. <br /> 2) In order to 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 n <br /> 18,as well as any conditions established by San Joaquin County. <br /> 3) Perhmittee sh P ensure the differ the Tman the ank Owner Tank <br /> d enk or if operator receive it to <br /> Ocopy of the perm is issued iL a person other than the owner or operatorof the tank,the <br /> Health D <br /> 4) UST permit Conditions.C piesofthe Procedures andpEmergelncy Responsbe e Prl n must beeatttached tothis or be available or rrevtew and and/or ire nspection <br /> UST <br /> UST site. <br /> 5) �Ireth$errmttee shall comply with the monitoring procedures referrenced in this perms. <br /> 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently if specified by the <br /> equipment manufacturer,and provide documentation of such servicing to this office. <br /> 7) In the event of a spill,leak,or other unauthorized release,the Pennitee shall comply with the requirements of Title 23 CCR Chap. 16,Art.S,and the <br /> approved Emergency Response Plan. <br /> d <br /> 8) Written records of all monitoring performed shall be maintaineon-site by the operator and be available for inspection fora period ofat least three years <br /> from the date the monitoring was performed. <br /> 9) The PHS/EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change. <br /> 10) Upon any change in equipment,design or operation of the UST system(including change in tank contents or[[sage),the Permit to Operate will be subject to <br /> review,modification or revocation. <br /> 1 I) 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 of the anniversary date of the issuance <br /> of this 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 dates) indicated. <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: ARCO PRODUCTS CO <br /> DBA: ARCO STATION <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility ID FA0003633 <br /> Regulated Facility: ARCO STATION #2076" Account ID AR0003211 <br /> 800 E KETTLEMAN LN Issued 9128/2000 <br /> LODI, CA 95240 <br /> Billing Address: ATTN : ENVIRONMENTAL HEALTH &SAFETY <br /> ARCO PRODUCTS CO <br /> PO BOX 6038 <br /> ARTESIA, CA 90702-6038 <br /> rroa rat <br />
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