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BILLING_PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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LOWER SACRAMENTO
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2200 - Hazardous Waste Program
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PR0517889
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BILLING_PRE 2019
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Last modified
3/11/2021 9:20:07 AM
Creation date
11/1/2018 12:06:28 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0517889
PE
2220
FACILITY_ID
FA0003607
FACILITY_NAME
WOODBRIDGE AM PM*
STREET_NUMBER
18806
Direction
N
STREET_NAME
LOWER SACRAMENTO
STREET_TYPE
RD
City
WOODBRIDGE
Zip
95258
APN
01543010
CURRENT_STATUS
01
SITE_LOCATION
18806 N LOWER SACRAMENTO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
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FilePath
\MIGRATIONS\L\LOWER SACRAMENTO\18806\PR0517889\BILLING .PDF
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EHD - Public
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41"W .i <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.Weber Ave.,Third Floor• Stockton,CA 95202-2708• Phone(209) 468-3420 <br /> Donna Herm,R.EH.S., Director <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Program Permit Permit <br /> Record lD Nomber Pro Code and Description - Valid <br /> PRO517889 PT0011 59 22201-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/112004 To 12/31/2004 <br /> Hazardous Waste Generator Program: <br /> In order to maintain the permit to yperate,Hazardous Waste Generators shall comply with California Health and Safety Code,Div.20,Chap.6.5,Art.2-13, <br /> Sec,25100 at seq,and Title 22,0aliforniaCode of Relo _C ...... __________.._ _______________-______________ <br /> -.._.._ _---_.__. .... <br /> PR0232388 2300-UNDERGROUND STORAGE TANK FACILITY 1/112004 To 12131/2004 <br /> Underground Storage Tank Program: <br /> California Health and SafeCode,Div.20,Chap.6,7 and Title 23,California Code of Regulations,Chap, 16....................... __ ____________________ <br /> ---- "--------------------------------------'----- <br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection <br /> 2360 3 390002323680238803 PT0003731 12,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> 2360 2 390002323880238802 PT0003730 12,000 MIDGRADE UNLEADED Active,billable DOUBLE WALLED Continuous Intersticai Monitoring <br /> 2362 1 390002323880238801 PT0003729 12,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> Underground Storage Tank Permit Conditions <br /> I The Permit to Operate will become void if Ann31 Permit Fees and Service Fees are not paid and/or the UST system(5)fails to remain m compliance with these Permit Conditions. <br /> 2) In order to maintain the operating permit,the owmr aril operator shall comply with the H&S Code,Div.20,Chap.6.7 and 6.75;and CCA Tide 23,Chap. 16 and 18,as well as any conditions <br /> established by San Joaquin County. <br /> 3) If the Tank Opemtor(s)is different from the Tark Owner,or if the Permit to Operate is issued to a person other than the owner or opc—tm of the tank,the Permittee shall ensure that both <br /> the Tank Owner and tank Operator receive a copy of the permit. <br /> 4) written Monitoring Procedures and an Emergenq Response Plan must be appmved by the Environmental Health Department(EKD)and a_�comidererd UST Pemut Conditions. The approved <br /> monitoring,response,and plot plans shall be mmc.nmed onsite with the permit. <br /> 5) The Permittee shall comply with the monitoring procedures referenced in this Peron <br /> 6) The Pernitme shall perform testing and prevennve maintenance on all leak detection monitoring equipment annually.or morefrequendy if specified by the equipment manufacturer.and <br /> Provide documentation of such servicing to this office. <br /> 7) In the event of a spill,leak,or other unauthorized release.the Permime shall comply with the requirements of Title 23 CCR.Chap. I6_Art.5,and the approved Emergency Response Plan. <br /> 8) written records of all monitoring performed shall be maintained on-site by the operator and be available for inspection for a period o:at least three years from the date the monitoring was <br /> performed. <br /> 9) The EHD shall be notified of any change in ownership or operation of the UST sysurm within 30 days of such change. <br /> 10) Upon any change in equipment.design or operation of the CST system(includine change in tank contents or usage),the Permit to Operate will be subject to review,modification or <br /> 11) Mff gF&glbn,repair and/or removal permits are regv%ed from the E14D prior to am change,repair or removal of UST system equipment. <br /> 12) The Pemdmee shall submit an annual report docurmmhmg compliance with the UST Permit Conditions within 30 days of the date of the issmce 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 dam(s) indicated- <br /> PERMITS <br /> ndicatedPERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: WIGHT ENTERPRISES 2 LLC <br /> DBA: ARCO AM/PM#82308 <br /> TMS FORK MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulahad Facility ARCO AM PM #82308' Facility ID FA0003607 <br /> 18806 N LOWER SACRAMENTO RD Account ID AR0003185 <br /> WOODBRIDGE, CA 95258 Issued 4/1/2004 <br /> Billing Address: <br /> ARCO AM PM #82308- <br /> 18806 LOWER SACRAMENTO RD <br /> WOODBRIDGE, CA 95258 <br /> 7023.rpt <br />
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