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BILLING_PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231314
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BILLING_PRE 2019
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Entry Properties
Last modified
2/7/2024 4:48:58 PM
Creation date
11/2/2018 4:58:00 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231314
PE
2361
FACILITY_ID
FA0003615
FACILITY_NAME
ARCO STATION #760*
STREET_NUMBER
225
Direction
S
STREET_NAME
CHEROKEE
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04314048
CURRENT_STATUS
02
SITE_LOCATION
225 S CHEROKEE LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\C\CHEROKEE\225\PR0231314\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
6/19/2012 8:00:00 AM
QuestysRecordID
124767
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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SAN JOAJOIN COUNTY PUBLIC HEALTH Sbm,/VICES <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 <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Program <br /> Permit <br /> Record ID Num r program Code and Description Valid <br /> PR0231314 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/01 To 12131101 <br /> Underground Storage Tank Program: <br /> California Healthand Safety Code Div,20,Chap,6.7 and Title 23 California Code of Regulations Chap_16____ _ ______________ _ __ __________ <br /> P Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection <br /> 2360 6 390002313140131406 PT0003776 10,000 REGULAR UNLEADED Active DOUBLE WALLED INTERSTITAL MONITOR <br /> 2360 7 390002313140131407 PT0003775 10,000 REGULAR UNLEADED Active DOUBLE WALLED INTERSTITAL MONITOR <br /> 2360 6 390002313140131406 PT0003774 10,000 REGULAR UNLEADED Active DOUBLE WALLED INTERSTITAL MONITOR <br /> 2362 5 390002313140131405 PT0003773 10,000 PREMIUM UNLEADED Active DOUBLE WALLED INTERSTITAL MONITOR <br /> BOE ID# 44-000506 - <br /> Underground Storage Tank Per Conditions <br /> 1) The Penrtit to Opemtc will become void if Annual Per rtit Fees and Service Fees are not paid and/or the USI system(s)fails to remain in compliance with these Permit <br /> Conditions. <br /> 2) In order b 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,W wen as <br /> anyconditions established by San Joaquin County. <br /> 3) If the Tank rOperawr(s)is different Cram the Tank Owner,or if the Pemrit to Operate is issued to a person other than the inner or operator of the tally the Permittee shall <br /> ensure that both the Tank Owner and tank Operator receive a copy of the permit. <br /> 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Division(PHS/EHD)and are considerer)UST Permit <br /> Conditions. Copies of the Procedures and Emergency Response Plan must be attached to this permit or be available for review and/or inspection at the USI site. <br /> 5) The Permittee shall comply with the monitoring procedures refemenced in this permit. <br /> 6) The Per r ittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently if specified bythe equipment <br /> mamu facturer,and provide documentation of such servicing to this office. <br /> 7) In the event of a spill,leak,or other unauthorized release,the Per milee shall comply with the requirements of Title 23 CCR,Chap.16,Art.5,and the approved Emergency <br /> Response Plan. <br /> 8) Written records of all monitoring performed shall be maintained onsite by the operatorand be available for inspection for a period of at least three}ears from the date the <br /> 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 USI system(including change in tank contents or usage),the Permit to Operate will be subject b 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 Pcrntittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the 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: ARCO PRODUCTS CO <br /> DBA: ARCO STATION <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: ARCO STATION #760' Facility ID FA0003615 <br /> 225 S CHEROKEE LN Account ID AR0003193 <br /> LODI. CA 95240 Issued 3/2912001 <br /> Billing Address: ATTN : ENVIRONMENTAL HEALTH & SAFETY <br /> ARCO PRODUCTS CO <br /> PO BOX 6038 <br /> ARTESIA, CA 90702-6038 <br /> 7023.rpt <br />
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