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BILLING_PRE 2019
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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 JOP - UIN COUNTY PUBLIC HEALTH 'RVICES <br /> P O Box 388 `w SrocwwN, CA 95201-0388 • PnoNrJ209) 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 /> OPERATING PERMIT FOR UMER6iR0k*0 STORAGE TAW FACILITY <br /> ?gunk Tank Permit Annual Permit Fee Valid <br /> HE Number Record 10 Number C acity ContenLhleadedts Permit Status From To <br /> 2'K0 Mi TA1068O1 09951 2,00 Uf ActivePermit o of/9. 1.131,795 <br /> 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 System(-) fails <br /> to remain in compliance with the PERMIT 041DITI NS. <br /> 2) The PERMIT TO OPERATE is granted to the TAW OWNER who accepts responsibility for operating and monitoring the UST system <br /> according to State underground storage tank laws and regulations as well as any conditions established by San 3oaquin County. <br /> 3) The TANK OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to the WRI ON <br /> OPERATING AGREEMENT required under Section 25293, Chapter 6.7, Division 20, California Health and Safety Code. <br /> 9) Re TAW 06NER shall notify the Environmental Health Division of any proposed change in operation or ownership of the CST <br /> system. <br /> si Upon any change in equipment, *sign or operation of this facility, the PERMIT TO 4SATE will be reviewed by the <br /> Environmental Health Division. <br /> 6i A construction or removal permit is required from the Environmental Health Division prior tn, any removal Cr <br /> chance of UST system equipwnt. <br /> ') This PERMIT TO OPERATE shall not be considered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> PERMIT r0 rPERATE an Uq'T FACILITY issued to: ROCATC) 2a RELF INVESTMENTS <br /> Flo Box 8640 <br /> STOCK:TON, CA l"'5203 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause . <br /> THIS F RM MUST BE DISPLAYED C1_1IN.5PICUMISI-Y ON THE PREMISES <br /> * # k ya <br /> &ULA?EC FAC1LlTY; T H S"1MP:=--0N CO Account ID: 000:3391 <br /> 4025 CORONADO AVE Facility I0: 003806 <br /> '=TOCKTON, CA 95204 Fermit Printed: 08/11/95 <br /> BILLING AODESS: <br /> ROSATO Pa RELF INVESTMENT• <br /> ATTN: WILLIAM RELF <br /> Pr_i BOX 8640 <br /> STOCKTON . CA 9520:_ <br />
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