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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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PR0231502
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BILLING_PRE 2019
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Entry Properties
Last modified
12/31/2020 9:26:59 AM
Creation date
11/5/2018 9:35:11 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231502
PE
2381
FACILITY_ID
FA0003919
FACILITY_NAME
VAN DE POL ENTERPRISES
STREET_NUMBER
5491
STREET_NAME
F
STREET_TYPE
ST
City
BANTA
Zip
95304
CURRENT_STATUS
02
SITE_LOCATION
5491 F ST
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\kblackwell
Supplemental fields
FilePath
\MIGRATIONS\F\F\5491\PR0231502\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
4/12/2013 8:00:00 AM
QuestysRecordID
149561
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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SAN JOAO V COUNTY PUBLIC HEALTH SI VICES <br /> P O Box 388 •'STOMMN, CA 95201-0388 • PHONE ?7%9) 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 /> OPERATIM96 PERMIT FOR UNDERC,ROLIND STCRME TANK 17ACILITY <br /> Tank Tank Fermit Annual PcA ,Fee Valid <br /> PIE tarmber Record 10 MAW Capacity ContentsPermit Status Fr t o <br /> 2380 001 TA150201 005556 10,000 Unleaded _ 01 Active Permit 01/01/4 ' 12/31/97 <br /> ? h) 002 TA150202 005557 10,000 Unieadea 01 Active Permit 01/01/97j2/'s1/97 <br /> 2380 003 TAIS020.3 005558 10,ON) Unleaded 01 Active Permit 01/01/97 ' 12131/37 <br /> 2'16 ON TA150204 005559 10,000 Unleaded 01 Active Permit 01/01/97 12/31/37 <br /> M. 005 TAIS0205 005560 10,000 Unleaded 01 Active Permit 01/01/97 12/31/97 <br /> 2380 006 TA150206 005561 10,(00 Unleaded 01 Active Permit 01J01/97 12/31/97 <br /> 2340 007 TA150207 005562 iO,000 Unleaded 01 Active Permit 01701/97, 12/31/97 <br /> M 00` TAIS0208 AOM 350 other 01 Active Permit 01101/9-1, 12/31/97 <br /> 2-V) 00'3 TA150209 005564 350 Other 01 Active Permit 01/01/91 12/31/97 <br /> PERMIT CONDITIONS; <br /> 1) The PERMIT TO OPERATE will becme void if ANNUAL PER`IIT Fees and SERVICE Fees are not paid and/or the UST syst*(s) `ails <br /> to remain in compliance with the PERMIT COZITIOMi. <br /> 2) The PERMIT TO OPERATE is granted to the WC W- R. who accepts responslbility 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 •Joaquin County- <br /> 3) The TAW OPERATOR(S), if different from the tank owner, stall operate and monitor the UST systema accordi%'to the WR�T:�ti <br /> OPERATING AGREEW required under Section 25233, Chapter 5.7, Division 20, California Health and Safety Code. <br /> 4) The TANK OVER shall notify the Environmental Health Division of any proposed change in operation or ownership of jhe UST <br /> system. <br /> 5) Upon any change in equipment, design or apestion of this facility, the PERMIT TO OPERATE will be reviewed by Itbe; <br /> Envirollimental .Health Division. I <br /> 6) A construction or removal permit is required f rn the Environmental Health Division prior to any removal or <br /> chance of UST system equipment. <br /> 7) This PERMIT TO OPERATE shall net be con-,idered permission to violate any ex:lst.iP3 laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an UST FACILITY issued to; MOORE PETROLEL+M <br /> PO BOX 67 <br /> BANTA, CA 95304 <br /> PERMITS TO OPERATE and ANNIJAL PERMIT FEE PAYMENT'S are NOT TRANSFERABLE <br /> a?-id n;ay Ge SUSPENDED nr REVOKED for cause . <br /> # } # # # # # <br /> THIS FOR14 PRRIST EIS DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> REGULATED FACILITY: i1oORE PETROLEUM Account ID: 0003511 <br /> F ST Facility TO; 043919 <br /> ANTA, CA 95= 34 Permit Printed: 04/30/97 <br /> STI L'% ADDRESS: MOORE PETROLEL)M <br /> PO BOX 67 <br /> BANTA, CA 9.5304 <br />
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