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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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PR0231528
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BILLING_PRE 2019
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Entry Properties
Last modified
9/27/2024 4:06:31 PM
Creation date
11/5/2018 12:21:53 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231528
PE
2361
FACILITY_ID
FA0003795
FACILITY_NAME
LIBERTY RURAL FIRE DISTRICT
STREET_NUMBER
24124
Direction
N
STREET_NAME
BRUELLA
STREET_TYPE
RD
City
ACAMPO
Zip
95220
APN
00731024
CURRENT_STATUS
02
SITE_LOCATION
24124 N BRUELLA RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\B\BRUELLA\24124\PR0231528\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
1/24/2012 8:00:00 AM
QuestysRecordID
111308
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <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 /> Permit <br /> Program Permit Program Code and Description Valid <br /> Record m Number 111101 To 12/31/01 <br /> PRO513856 PT0010051 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY <br /> Hazardous Waste Generator Program: <br /> California Health and Safe Code Div_20,Chap:6.5,Art_2-13 Sec. -- --- see,,and Title 22 California Code - Regulations,Chap. I/1 ___________. <br /> �---- ------- 111101 To 12/31101 <br /> P00231528 2300-UNDERGROUND STORAGE TANK FACILITY <br /> Underground Storage Tank Program: ' <br /> California Health and Satety Code Div,20,Chap:6.7 and Title 23 Califomia Code of Re4ulations Chap_16________________._-_____________-_ <br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit StaNs <br /> 2360 4 390002315280152804 PT0004897 525 DIESEL Active <br /> 2362 3 390002315280152803 PT0004896 525 UNLEADED Active <br /> Underground Storage Tank Permit Conditions <br /> I) The Permit to Operate win become void if Annual Per Fees and Service Fees are not paid and/or the UST 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 18,as wen as <br /> anyconditions established by San Joaquin County. <br /> 3) If the Tank Ope2mr(s)is different from 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 Environmental Health Division(PHS/EHD)and am considererd UST Permit <br /> Conditions. Copies of the Procedures and Emergency Response Plan must be attached to this per rant or be available for review and/or inspection at the UST site. <br /> 5) The Permittee shall comply with the monitoring procedures refemenced in this permit. <br /> 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently if specified by the equipment <br /> manufacturer,and provide documentation of such servicing to this offhca <br /> 7) In the event of a spill,leak,or other unauthorized release,the Permitee shag 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 operator and be available for inspection fora period of at least three years 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 USr system(including change in tank contents or usage),the Permit to Operate will be subject b review, <br /> modification or revocation. <br /> 11) Construction,repair and/or removal pernits 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 U ST 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 maybe 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: LIBERTY RURAL FIRE DISTRICT <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility ID FA0003795 <br /> Regulated Facility: LIBERTY RURAL FIRE DISTRICT Account ID AR0003380 <br /> 24124 N BRUELLA RD Issued 3/2912001 <br /> ACAMPO. CA 95220 <br /> Billing Address: ATTN : LIBERTY RURAL FIRE DISTRICT <br /> LIBERTY RURAL FIRE DISTRICT <br /> 24124 N BRUELLA RD <br /> ACAMPO, CA 95220 <br /> ��7023.rpt A/ <br />
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