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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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PR0231504
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BILLING_PRE 2019
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Entry Properties
Last modified
9/19/2024 1:33:33 PM
Creation date
11/2/2018 7:52:32 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231504
PE
2381
FACILITY_ID
FA0003573
FACILITY_NAME
A & M MARKET*
STREET_NUMBER
4579
Direction
E
STREET_NAME
ACAMPO
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
01703053
CURRENT_STATUS
02
SITE_LOCATION
4579 E ACAMPO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\A\ACAMPO\4579\PR0231504\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
11/23/2011 8:00:00 AM
QuestysRecordID
98691
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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E...VIRONMENTAL HEAUk-, A POST ON PREMISE <br /> ISSUED: EXPIRES: PERMIT NO. <br /> SAN JOAOUIN COUNTY PUBLIC HEALTH SERVICES <br /> -— ENVIRONMENTAL HEALTH DIVISION <br /> Permit Issued to: 1601 E. HAZELTON AVE. • PHONE 468-3420 <br /> P.O. BOX 2009 • STOCKTON, CA 95201 <br /> A to M MARKET <br /> 4''' E ACAM'" OPERATING PERMIT FOR UNDERGROUND <br /> AC AMPO ; A 95221 i <br /> STORAGE TANK FACILITY <br /> status, 0± To No; AMM4R4`, <br /> ,-,AV MOR 0IL C0 TANK OWNER <br /> SISO WILSHIRE BLVD. , :ATE. 100 <br /> U)S ANGELES CA 90036 <br /> NUMBER OF TANKS <br /> Tank Description Proouct. Capacity LOM State_ <br /> ---- ----------- ------------------- -------- --- ------ <br /> 0001 TANKS Motor Vehicle Fuel 8.000 S 0I <br /> 0002 TANKS MotoVehicle Fuel 61('100 01 OS <br /> ;r.t03 TANKS: Motor Vehicle Fuel 8,+JOt <br /> CONDITIONS <br /> 1. This permit expires on December 31, of the current year. Inspection fee will be billed annually. <br /> 2. This permit is granted to the tank owner who accepts responsibility for operating and monitoring the tank <br /> system according to state underground storage tank laws and regulations and conditions set by the county. <br /> 3. Tank operators, if different than the owner, shall operate and monitor the tank system according to the <br /> written operating agreement required under Section 25293, Chapter 6.7, Division 20, California Health and <br /> Safety Code. <br /> 4. Tank owner shall notify the Environmental Health Division of any proposed change in operator or ownership <br /> of tank system. <br /> 5. Upon a significant change in design or operation of this facility, permit will be reviewed by the <br /> Environmental Health Division. <br /> 6. This permit cannot be considered as permission to violate existing laws, ordinances, regulations or statutes <br /> of other governmental agencies. <br /> Jogi Khanna, M.D., MPH Ron Va' ti, REHS, Director <br /> Health Officer ...� NON-TRANSFERRABLE Enviro ital Health Division <br /> THIS PERMIT MAY BE SUSPENDED OR REVOKED FOR CAUSE <br />
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