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INSTALL 1999
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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PR0231136
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INSTALL 1999
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Entry Properties
Last modified
6/5/2019 11:50:32 AM
Creation date
11/5/2018 11:39:37 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
INSTALL
FileName_PostFix
1999
RECORD_ID
PR0231136
PE
2361
FACILITY_ID
FA0003610
FACILITY_NAME
A&A GAS & FOOD MART
STREET_NUMBER
16
Direction
E
STREET_NAME
HARDING
STREET_TYPE
WAY
City
STOCKTON
Zip
95204
APN
13902001
CURRENT_STATUS
01
SITE_LOCATION
16 E HARDING WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
KBlackwell
Tags
EHD - Public
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04%29/99 15:23 FAX 425 251 8782 BARGHAL'SEN ��ip2;gp2 <br />SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />APPUCA7iON FOR UNDERGROUND STORAGE TANK CLOSURE PERMIT <br />TLf(S P1: MT OR PE91AANF-NTITLUPOPARY CLOSURE OR AEANOOMMENT W PLACF OF UNDERGROUND HAZARDCus SUBSTANCES <br />STORAGE" K(S) EX120ES 90 DAPS FROM THE APPROVAL. DATE 00 NOT W UM W ANY SHADED AREAS. 1NOICATE PERMIT TYPE <br />I <br />ARMOVAL ❑ TEMPORARY CLOSURE U CLOSURE IN PLACE <br />I <br />j <br />FACILITY INFORMATION <br />CONTRACTO <br />ITS <br />EPA SA <br />PRO.SECI' CONTACT r e <br />P NOtJF! Z/ !D? Z Z <br />VAC1LiTY <br />�' D .4M /� F/�G ,70� <br />PHONE* 7c117 _ <br />ADDRESS I <br />Ido . - _ ; �/ �� �.�/ Y S 76�c TFAI C.a <br />e?52Q <br />CROSS 7 <br />PHONE >R _-- — <br />39- . 1 <br />OVNNEMOPE WOR _-*7 LZ- ✓Tl_�' ��N_ `i GZ Q «3M . <br />FHOt4t t 7 &70-5403 <br />j <br />CONTRACTOR INFORMATION <br />CONTRACTO <br />NAME. 7c �'c' 4cLdTtO Pt OtZ F <br />CONTRACT04t <br />ADDRESS i G41lC s CLASS <br />1 , <br />YYORKER C01W'* <br />FUkE 0t§TW <br />Gi f' p <br />LA90RllifOR <br />NAME 1 Ard COUNTY PHONE t <br />5AMPUgG Fl <br />PHONE >R _-- — <br />j <br />TANK INFORMATION <br />TANK D t TANK SIZE <br />TANK COWENTS (PRESENT & PAST) DATE INSTALLED <br />39- + <br />Z v <br />`7Z C,17 <br />39- i <br />39- 1 <br />39- . 1 <br />APPUCA14T T PERF(JAM ALL YYORK EI ACCCROANCE VKIiI SAN joghAN CAUHTY OKOk1ANCES STATE LAWS. FEDERAL LAW5..1ND RULES ANO <br />REGULATIONS QF SAN *AQUW COUNTY PUGLX HEALTH SMrACES OVYNE33 OR 11L�145W AGOYiS SlGrU►7UR£ G�21RfS THE FOIIOwING: t <br />C£RT4Y 7 Ti lE PpRfQriruAJ+CS DF 7h� MYOFIlG Fpfl 1FMK�{ TiRS PERMIT LS IS a;2)• I SHALL NOT 84'gR OY AM! PERSON W SUCH A MAMER AS <br />TO E 51! C7'fY0R1�7t'S C&A7701! LAWS CP GagON�1Gt' CCiNRNG:VRS ?fR1tfG OR =1COWFACM4 57GMATVRE CE3L11FlF5 <br />THE 1 CERiWY WAT THE VVCRK FOR VWICH D" poagT &S aSUEQ. I W" ElrtAZY PFR50HS SUB=TD <br />NqR S C-0 PE?yMAYtOA lA CJ LIFGPPWI' <br />APPc sG4NrS 1GNA ` TITLE '� - <br />p-APpR VED' .0 APPROVED WITH CONDFTiON(S) Cl DISAPPROVED <br />j r, EE COH(1Y[ICAS MU.OW MMMJR ON ATTA06 E <br />�L11[1 REI/!! S NAME PATE <br />ANY DEYUI,TIONS FitOfATHIS APPUCATICNV M1usT BE SUBMITTED TO EKD FOR APPROVAL. PMOR TC7 RpMM0ICING WORK. <br />I CONDITIONS_ <br />l <br />L <br />
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