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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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PR0231068
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BILLING_PRE 2019
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Entry Properties
Last modified
3/3/2021 10:19:08 PM
Creation date
11/2/2018 6:15:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231068
PE
2381
FACILITY_ID
FA0003806
FACILITY_NAME
J.H. SIMPSON CO., INC
STREET_NUMBER
4025
STREET_NAME
CORONADO
STREET_TYPE
AVE
City
STOCKTON
Zip
95204
APN
11530025
CURRENT_STATUS
02
SITE_LOCATION
4025 CORONADO AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\C\CORONADO\4025\PR0231068\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
11/5/2012 8:00:00 AM
QuestysRecordID
130750
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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- SAN JOA( IN COUNTY PUBLIC HEALTH c :VICES <br /> P O Box 388 &r S ocrcroN, CA 95201-0388 • PHONE`(209) 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> OPEIRUATWa PEMIT FCT_.. R( STi�c E TAA. FACILITY <br /> Tank Tank Permit. Annual Permit Fee Valid <br /> P/E Number Record ID Number Capacity Contents Permit Status From To <br /> 2380 901 TA1968D1 094951 2,900 Unleaded 01 Active Permit 01/01/96 12!31/36 <br /> PERMIT CONDITIONS; <br /> ±? The PERMIT TO OPERATE will become void if ANIPAL PERMIT Fees and SERVICE Fees are YFot paid ariri/or the UST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIiNS. <br /> 2) The PERMIT TO OPERATE is granted to the TANK OWNER who accepts responsibility for operating and monitoring the UST system <br /> according to State undergr4md str-rage tank laws and renulations as well as any conditions established by San Joaquin iount.y. <br /> 3) The TANK OPERATOR(S), if different from the tanl: owner-, shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING AGREMT required under Section 25293, Chapter 6.7, Division 29, California Health and Safety Code. <br /> 4) The TANK NO shall notify the Environmental Health Division of any proposed change in operation cr ownership of the UST <br /> system. <br /> 5) Upon any charee in equipment, design or operation of this facility, the PERMIT TO OPERATE will be reviewed by the <br /> Environmental Health Division. <br /> 6) A construction or removal permit is required from the Environmental Health Division prior to any removal or <br /> change of UST system equipment. <br /> 7) This PERMIT TO OPERATE shall not be considered permission to violate any existing laws, ordinances or statutes of ether <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an UST FACILITY issued to: ROS-ATO & RELF INVESTMENT=; <br /> PO BOX 8640 <br /> STOr:KTON, CA 95208 <br /> PERMIT= TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT 'TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause . <br /> THIS FOW, MUST BE DISPLAYED C&AWICUOLISLY J7NTsIE PREMISES <br /> REUATED FACILITY: J H SIMPSON CO Account ID; 0003391 <br /> 4025 CORONADO AVE Facility ID; 003806 <br /> STOCKTON, CA 95204 Permit Printed; 05/02/96 <br /> BILLING AMSS: <br /> ROSATO Pa RELF INVESTMENTS <br /> ATTN: WILLIAM RELF <br /> PO BOX 8640 <br /> STOCk:TON . CA 95200 <br />
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