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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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PR0232337
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BILLING_PRE 2019
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Entry Properties
Last modified
4/8/2021 3:56:08 PM
Creation date
11/5/2018 11:26:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0232337
PE
2361
FACILITY_ID
FA0003599
FACILITY_NAME
ARCO AM PM #5569
STREET_NUMBER
3518
Direction
E
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
13002001
CURRENT_STATUS
02
SITE_LOCATION
3518 E HAMMER LN
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HAMMER\3518\PR0232337\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
5/9/2013 8:00:00 AM
QuestysRecordID
162229
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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SAN JOA2l1COUNTY PUBLIC HEALTH SF,,. 'I1.,OS <br /> 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE(209)468-3420 <br /> KAREN FURST,M.D., M.P.H.,HEALTH OFFICER <br /> DONNA HERRN,R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> error[ <br /> rMMI e—runitmbe Program Code and Description <br /> Valid <br /> Record ID Number g p <br /> PR023233 2300-UNDERGROUND STORAGE TANK FACILITY _ 1/1/00 To 12/31/00 <br /> Underground Storage Tank Program: <br /> California Health and Safety Code Div.20,Chap.6.7 and Title 23 California Code of Regulations Chap. 16. <br /> _ _ _ _ _ _ _ <br /> r I p Iy one e r u ys y <br /> rveWALLED <br /> UNLEADED Active DOUBLE WALLED INVENTORY RECNANUAL <br /> 2360 2 390002323370233702 PT00036912,000 UNLEADED Active DOUBLE WALLED INVENTORY RECNIMLIAL <br /> 2360 1 390002323370233701 PT0003692 12,000 <br /> Underground Storage Tank Permit Conditions <br /> 1) The Permit to Operate witI become void if Annual Permit Fees and Service Fees are not paid and/or the UST system(s)fails to remain in compliance with <br /> these Permit Conditions. <br /> 2) In order to maintain the operatingpermit,the permit holder shall empty with the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR,Title 23,Chap. 16 and <br /> 18,as well as any conditions established by San Joaquin County. <br /> 3) Ifthe Tank Opemtor(s)is different from the Tank Owner,or if the Permit ro Operate is issued to a person other than the owner or operator of the tank,the <br /> Permittee shall ensure that both the Tank Owner and tank Operator receive a copy of the permit. <br /> 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Division(PHS/EHD)and are considererd <br /> UST Pemnit Condition¢. Copies of the Procedures and Emergency Respome Plan must be attached to this permit orbe available for review and/or inspection <br /> 5) �re si e. <br /> FIe PeU�TRtec shall comply with the monitoring Procedures referrenced in this permit. <br /> 6) The.Permittee shall performtesting and preventive maintenance on all leak detection monitoring equipment annually,or more frequently if specified by the <br /> equipment manufacturer,and provide documentation of such servicing to this office. <br /> 7) In the event of a spill,leak,or other unauthorized release,the Pernitee shall comply with the requirements of TItIe23 CCR,Chap. 16,Art 5,and the <br /> approved Emergency Response Plan. <br /> 8) Written records of all monitoring performed shalt be maintained on-site by the operator and be available for inspection for a period of at least three years <br /> from the date the monitoring was performed. <br /> 9) The PHS/EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change. <br /> 10) Upon any change in equipment,design or operation of the UST system(including change in tank contents or usage),the Permit to Operate will be subject to <br /> review,modification or revocation. <br /> l l) Construction,repair and/or removal permits are required from the PHS/EHD prior to any change,repair or removal of UST system equipment. <br /> 12) The Permittee shall submit an annual report documenting compliance with the UST Permit Candid ons within 30 days of the anniversary date of the issuance <br /> of this permit. <br /> 13) This Permit to Operate shall not be considered permission to violate any laws,ordinances or statutes of any other Federal,State or Local agency. <br /> 14) A"Conditional'Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated. <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REV OKED for cause. <br /> PERMIT(s)Valid only for: ARCO PRODUCTS CO <br /> DBA: ARCO STATION <br /> THIS FORM bIUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility ID FA0003599 <br /> Regulated Facility: ARCO AM PM#5569` Account ID AR0003177 <br /> 3518 E HAMMER LN Issued 912812000 <br /> STOCKTON, CA 95210 <br /> Billing Address: ATTN : ARCO PRODUCTS CO/ENVIRON H &S <br /> ARCO AM PM#5569' <br /> PO BOX 6038 <br /> ARTESIA, CA 90702-6038 <br /> 7023.rpt <br />
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