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BILLING_PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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CALIFORNIA
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1410
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2300 - Underground Storage Tank Program
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PR0503116
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BILLING_PRE 2019
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Entry Properties
Last modified
9/27/2024 11:44:44 AM
Creation date
11/2/2018 3:46:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0503116
PE
2381
FACILITY_ID
FA0005690
FACILITY_NAME
SENIOR SERVICE AGENCY
STREET_NUMBER
1410
Direction
S
STREET_NAME
CALIFORNIA
STREET_TYPE
ST
City
STOCKTON
Zip
95206
APN
16715033
CURRENT_STATUS
02
SITE_LOCATION
1410 S CALIFORNIA ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\C\CALIFORNIA\1410\PR0503116\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
1/26/2012 8:00:00 AM
QuestysRecordID
122489
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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STATE IO NUMBER 00000011195002 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> I O1 1 105 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> CONDITIONAL PERMIT ( 1 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAMEICORPOPATION,INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> E-Z SERVE, INC. ( 1 01 FED ( 1 02 STATE ( 1 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 901 SOUTH 1ST. ABILENE TX 79602 <br /> II FACILITY <br /> FACILITY NAMEC'� DEALER/FOREMAN/SUPERVISOR <br /> �F <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 1410 S. CALIFORNIA STREET (4i <br /> CITY COUNTY ZIP <br /> STOCKTON SAN JOAGUIN 95306 <br /> MAILING ADDPCSS CITY 1 STATE ZIP <br /> P.O. Box-3si?.- ac�� o n-6 Imo( o T�C-�' T96Q+' <br /> PMCN! W/APIA CODE TYPE OF BUSINESS <br /> 19}i-biE-b48L, (X) 01 GASOLINE STATION f 1 02 OTHER <br /> NUMSEP OF CONTAINERS PUPAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 3 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAM.E(LAST NAME FIRST) AND PHONE W/ARG COD! NIGHTS: N4M!(LAST NAME FIRST) AND PHONE W/ARU CCOE <br /> R 6i'""02p6�� EI9+Si1-133�- <br /> ON A S <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( ) 04 OTHER: CONTAINER NUMBER 65 <br /> B. MANUFACTURER IIF APPROPRIATE): JOOR YEAR MFG: I C. YEAR INSTALLED 79 ( 1 UNKNOWN <br /> D. CONTAINER CAPACITY: 10310 GALLONS 1 l UNKNOWN E. DOES THE CONTAINER STORE: f ) 01 WASTE (XI 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES 1 1 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> (X1 01 UNLEADED l 1 02 REGULAR 1 1 03 PREMIUM ( 1 04 DIESEL ( 1 05 WASTE OIL f 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( I INCHES 1 1 CM (X) UNKNOWN <br /> B. ( 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. 1 ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( 1 03 LINED <br /> D. 1X1 01 CARBON STEEL f 1 02 STAINLESS STEEL 1 1 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE ( 1 05 CONCRETE <br /> 1 ) 06 ALUMINUM ( 1 07 STEEL CLAD ( ) 08 BRONZE ( 1 09 COMPOSITE 1 1 10 NON-METALLIC <br /> 1 1 12 UNKNOWN 1 ) 13 OTHER: <br /> MSC04-070185 (10/18/85) PAGE 1 <br />
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