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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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EIWIRONMENTAL HEALTH POST ON PREMISE <br /> ISSUED: EXPIRES: PERMIT NO. <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> 12, 1933 Ur_E'.I);J._r. ENVIRONMENTAL HEALTH DIVISION <br /> Permit Issued to: 1601 E.HAZELTON AVE. • PHONE 468-3420 <br /> P.O. BOX 2009 • STOCKTON,CA 95201 <br /> -100RE PETI CILtIIM <br /> 5491 F 'STREET OPERATING PERMIT FOR UNDERGROUND <br /> •AfIIA :A �bdt14 STORAGE TANK FACILITY <br /> Status;` 01 ID IJn: jMi iC IRE06 <br /> TANK OWNER <br /> I�iiORE PETROLEUM PETRCtLF1lIq <br /> P. O. BOX 67 P. O. BOX 67 <br /> BAN- <br /> I'A CA 95304 ':'" TA CA %364 <br /> NUMBER OF TANKS <br /> Tank, CfescriF}ion Product IT. <br /> ---- ----------- ----------- <br /> 0009 TAPIiS Other <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 - P Valinoti, REHS, Director <br /> Health Officer NON-TRANSFERRABLE LVonmental Health Division <br /> THIS PERMIT MAY BE SUSPENDED OR REVOKED FOR CAUSE <br />
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