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BILLING_PRE 2019
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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 J(",qm 1fN COUNTY PUBLIC HEALTH SE,,,,j'ICES <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 /> Program Permit Penni/ <br /> Record fl) Number Program Code and Description Valid <br /> PR0232337 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/01 To 12131/01 <br /> Underground Storage Tank Program: <br /> California Health and Safety Code Div.20,Chap.6.7 and Title-2-3-California Code of Regulations Chap.-1-6- <br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection <br /> 2360 3 390002323370233703 PT0003695 12,000 UNLEADED Active DOUBLE WALLED . INVENTORY RECWNUAL <br /> 2360 2 390002323370233702 PT0003694 12,000 UNLEADED Active DOUBLE WALLED INVENTORY REC/MANUAL <br /> 2362 1 390002323370233701 PT0003692 12,000 UNLEADED Active DOUBLE WALLED INVENTORY RECMANUAL <br /> Underground Storage Tank Permit Conditions <br /> 1) The Pernut to Operate win become void if Annual Pernat Fees and Service Fees are not paid and/or the USI system(s)fails to remain in compliance with these Permit <br /> Conditions. <br /> 2) In order In maintain the operating permit,the permit holder shall comply with the H&S Code,Div.20,Chap.6.7 and 6.75;and OCR,Title 23,Chap.16 and I8,as well as <br /> any conditions established by San Joaquin County. <br /> 3) If the Tank Operator(s)is different fiom the Tank Owner,or if the Permit to Operate is issued to a person other than the owner or operator of the tank,the Permittee shall <br /> 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 Envimnmmtal Health Division(PHS/EHD)and are considererd UST Permit <br /> Conditions. Copies of the Procedures and Emergency Response Plan must be attached to this perr it or be available for review and/or inspection at the USI site <br /> 5) The Permittee shall comply with the monitoring procedures mlerrenced in this permit. <br /> 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or mom frequently if specified bythe equipment <br /> manufacturer,and provide documentation ofsuch servicing to this office. <br /> 7) In the event of a spill,leak,or other unauthorized release,the Permitee shall comply with the requirements of Tile 23 CCR,Chap. 16,Art.5,and the approved Emergency <br /> Response Plan. <br /> 8) Written records of all monitoring performed shag be maintained on-site by the operatorand be available for inspection fora period of at least three}ears from the date the <br /> 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 ofthe USC system(including change in tank contents or usage),the Permit to Operate will be subject so review, <br /> modification or revocation. <br /> 11) 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 Conditions within 30 days of the anniversary date of the issuance ofthis 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 REVOKED for cause. <br /> PERMIT(s)Valid only for: ARCO PRODUCTS CO <br /> DBA: ARCO STATION <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: ARCO AM PM #5569* Facility ID FA0003599 <br /> 3518 E HAMMER LN Account ID AR0003177 <br /> STOCKTON. CA 95210 Issued 3/29/2001 <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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