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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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SAN JOE _ N COUNTY PUBLIC HEALTH ICES <br /> P O Box 388 RTON, CA 95201-0388 • PHON�O'9) 468 3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> GFERATT.kra FAIT FOR 1 ERGR0 ST E TANK FACILITY <br /> Tank Tark Permit. Annual Permit Fee Valid <br /> Number er Record ID Number Capacity Contents Permit Status From To <br /> 23341 001 TA152501 004689 SOO Unleaded 01 Active Permit 01i01/96 12/31/96 <br /> 2380 002 TA1S2502 0046'9} 150 02 Conditional Permit 01/01/96 12/31/46 <br /> PERMIT CONDITIONS: <br /> 1) The PERMIT TO OPERATE will beccae void if ANNUAL PERMIT Fees and SERVICE Fees are rust paid and/or the LMT system(s) fails <br /> to remain in cwliance with; the PERMIT CONOITICN& <br /> 2) The PERMIT TO OPERATE is granted to the TANK NNER who:, accepts responsibility for operating and monitoring the UST system <br /> according to State underground storage tank laws and regulations as well as any conditions established by San Joaquin County. <br /> 3) The TAW OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING AGREEMENT required under Section 25293, Chapter 6.7, Division :10, California Health and Safety Code. <br /> 4) The TAW. V- 41ER shall notify the Environmental Health Division of any proposed change in operation or ownership of the UST <br /> system- <br /> S) Upon any change in equipment, design or operation of this facility, the PERMIT TO OPERATE will be reviewed by the <br /> Environmental Health Division. <br /> 6) A construction or removal permit is required frog, the Eivironifental Health Division prior to any reFx-val or <br /> change of UST system equipment. <br /> 7) This PERMIT TO OPERATE shall not be considered Permission to 'violate any existing laws, ordinances or statute=_ of other <br /> federal, state or local agencies. <br /> 8) A "Conditional Permit' may be revoked if corrections are not completed by t"e date(5) specified on inispection. <br /> PEft'tIT TO OPERATE anfist FACILITY issued to: SHAWVER, WILLIAM <br /> 316 N BROADWAY <br /> STOCKTON, CA 9S20S <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause . <br /> THIS FORM Mk)ST OF DISPLAYED {0NSP1CLkx 9L.Y ON THE PREMISES <br /> REGULATED FACILITY: SHAWVER TRUCKING CO INC: Account ID; 000:3:360 <br /> 916 N BROADWAY Facility ID: 003770 <br /> STOCKTON, CA 95205 Permit Printed: OS/02/96 <br /> MILLING ADDRESS: <br /> SHAWVER TRUCKING CO INC <br /> ATTN : WILLIAM SHAWVER <br /> 916 N BROADWAY <br /> STOCKTON, CA 9S205 <br />
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