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BILLING_PRE 2109
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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PR0231525
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BILLING_PRE 2109
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Entry Properties
Last modified
2/7/2024 1:08:12 PM
Creation date
11/5/2018 12:20:30 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2109
RECORD_ID
PR0231525
PE
2381
FACILITY_ID
FA0003770
FACILITY_NAME
SHAWVER, WILLIAM L JR, TR ETAL
STREET_NUMBER
916
Direction
N
STREET_NAME
BROADWAY
STREET_TYPE
AVE
City
STOCKTON
Zip
95205
APN
14324007
CURRENT_STATUS
02
SITE_LOCATION
916 N BROADWAY AVE
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\B\BROADWAY\916\PR0231525\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
1/25/2012 8:00:00 AM
QuestysRecordID
107184
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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POST ON PREMISE <br /> Ei,41RONMENTAL HEALTH <br /> ' PERMIT N0. <br /> ISSUED: EXPIRES: <br /> SAN JOAOUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 1601 E. HAZELTON AVE. • PHONE 468-3420 <br /> Permit issued to: P.O. BOX 2009 • STOCKTON,CA 95201 <br /> 315BROADWAY OPERATING PERMIT FOR UNDERGROUND <br /> N.c;T){ r'TQN C:p . i_5 STORAGE TANK FACILITY <br /> TANK OWNER <br /> Iii <br /> NUMBER OF TANKS <br /> Task oescriPtion Product C:aRacity LU-ii <br /> ---- --- <br /> 0001 TANKS motor Vehicle Fuel 500 7 ft <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 /> -t.5 iS d cc�ii�.lLlondl PerMit Suojeci. :0 sUSt•ci Wil+"iii Ui' re',rUi::3.t,i+`Jii TAi' failure to li_,r't`8CL <br /> violations by the comPliance date(s) }}--ted on the 41o= f r,kent UG-ST facility <br /> _<<9Pectlon report. . <br /> Jogi Khanna, M.D., MPH Ron Valinoti,REHS, Director <br /> Health Officer NON-TRANSFERRABLE Environmental Health Division <br /> THIS PERMIT MAY BE SUSPENDED OR REVOKED FOR CAUSE <br />
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