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BILLING_PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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J
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JACK TONE
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13475
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2300 - Underground Storage Tank Program
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PR0502118
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BILLING_PRE 2019
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Entry Properties
Last modified
8/11/2021 1:11:52 PM
Creation date
11/5/2018 3:04:27 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0502118
PE
2381
FACILITY_ID
FA0005333
FACILITY_NAME
JACKPOT
STREET_NUMBER
13475
Direction
N
STREET_NAME
JACK TONE
STREET_TYPE
RD
City
LODI
Zip
95240
APN
06326004
CURRENT_STATUS
02
SITE_LOCATION
13475 N JACK TONE RD
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\J\JACK TONE\13475\PR0502118\BILLING.PDF
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EHD - Public
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ENWAONMENTAL HEALTI` POST ON PREMISE <br />ISSUED: EXPIRES: PERMIT NO. <br />August. 25, 1989 Decef.,;c- SAN JOAOUIN LOCAL HEALTH DISTRICT <br />1601 E. HAZELTON AVE. • PHONE 466.8781 <br />Permit issued to: P.O. BOX 2009 • STOCKTON, CA 95201 <br />13475 N. ;AC„ TONE ROA'- <br />LCIDi, C:A 95240 OPERATING PERMIT FOR UNDERGROUND <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />Status: 01 <br />STORAGE TANK FACILITY <br />VINC:E BLANK: <br />TANK OWNER TIME OIL <br />COMPANY <br />2737 W. COMMODORE WAY <br />2737 W. <br />COMMODORE WAY <br />SEATTLE, WA 95199 <br />SEATTLE, <br />WA 98191 <br />NUMBER <br />OF TANKS 03 <br />Tank Description <br />Product <br />L:apactty LDM <br />________ ___ <br />Status <br />------ <br />____ ___________ <br />0001 TANKS <br />__________________ <br />Motor 'Vehicle Fuel <br />10,000 5 <br />01 <br />0002 TANKS <br />Motor Vehicle Fuel <br />121000 5 <br />01 <br />000:= TANKS <br />Motor Vehicle Fuel <br />6,000 5 <br />01 <br />CONDITIONS <br />-. ;e t i ? ye8..r <br />This permit expires in five' (5)years"and is renewable thereafter. Inspection fee will be billed annually. <br />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 />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 />Tank owner shall notify the Environmental Health Division of any proposed change in operator or ownership <br />of tank system. <br />Upon a significant change in design or operation of this facility, permit will be reviewed by the <br />Environmental Health Division. <br />This permit cannot be considered as permission to violate existing laws, ordinances, regulations or statutes <br />of other governmental agencies. <br />District Health Officer <br />THIS PERMIT MAY BE SUSPENDED'OR REVOKED FOR CAUSE <br />Director of Environmental Health <br />
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