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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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ENJIRONMENTAL HEALT►..e POST ON PREMISE <br /> ISSUED: EXPIRES: PERMIT NO. <br /> SAN JOAOUIN COUNTY PUBLIC HEALTH SERVICES <br /> iz <br /> _� ENVIRONMENTAL HEALTH DIVISION <br /> Permit Issued to: 1601 E. HAZELTON AVE. • PHONE 468-3420 <br /> P.O. BOX 2009 • STOCKTON,CA 95201 <br /> MOORE PETROLEUM <br /> _491 F STREET OPERATING PERMIT FOR UNDERGROUND <br /> BANTA CA 35304 STORAGE TANK FACILITY <br /> Status: 01 10 No; MOORE06 <br /> TANK OWNER <br /> MOORE PETROLEUM MCrCIRE PETROLEUM <br /> P 0. uf-IX 67 F•, 0. BOX 67 <br /> BANTA C:A 953-04BAIT i A _:A 9 ':04 <br /> NUMBER OF TANKS <br /> ira <br /> 7at74:: Description Product apacity LOM Status <br /> ---- ------ ------------------ --------- --- ------ <br /> 0001 TANK'._ ----- Motor Vehicle Fuel 10,00o S O1 <br /> 0402 TANKS, Motor Vehicle Fuel i01000 5 01 <br /> 0003 TANk _, Motor Vehicle Fuel 10,00+) S 01 <br /> 0004 TANKS Motor Vehicle Fuel 10,000 5 01 <br /> OWS TANKS Motor Vehicle Fuel 10,000 5 01 <br /> (1006 TANK' Motor Vehicle Fuel 101000 5 01 <br /> i07 TAM ,- Motor Vehicle Fue. OO( 5 ,1 <br /> CONDITIONS 1 i TAi2Other 350 7 07. <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 onmental Health Division <br /> THIS PERMIT MAY BE SUSPENDED OR REVOKED FOR CAUSE <br />
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