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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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EI-IMONMENTAL HEAL. Ir POST ON PREMISE <br />ISSUED: EXPIRES: PERMIT NO. <br />_•� e_tiLej, iSou veCeiitGd':' i, SAN JOAOUIN LOCAL HEALTH DISTRICT <br />1601 E. HAZELTON AVE. • PHONE 466.6781 <br />Permit issued to: P.O. BOX 2009 • STOCKTON, CA 95201 <br />13415 N. JACK TONE ROAD <br />LODI, CA 95240 OPERATING PERMIT FOR UNDERGROUND <br />Status; 01 <br />STORAGE TANK FACILITY <br />VINCE BLANK <br />JIL <br />COM <br />2737 W. COMMODORE WAY <br />TANK OWNER 2737 <br />W. <br />COMMODORE WAY <br />SEATTLE, WA <br />98199;F.A <br />TLE, <br />WA 98199 <br />NUMBER <br />OF TANKS <br />tl' <br />Tank <br />Description <br />Product <br />._;-_. a:_; <br />_0ml <br />Status <br />---- <br />0001 <br />----------- <br />TANKS <br />------------------ <br />Motor <br />Vehicle fuel <br />-------- <br />10,000 <br />--- <br />5 <br />------ <br />01 <br />0002 <br />TANKS <br />Motor <br />Vehicle Fuel <br />11,000 <br />5 <br />01 <br />000:3 <br />TANKS <br />Motor <br />Vehicle Fuel <br />61000 <br />5 <br />01 <br />CONDITIONS <br />one (1) year <br />1. This permit expires iri i$4 (3j-yiairs and is renewable thereafter. 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 />District Health Officer <br />—irector of Environmental Health <br />THIS PERMIT MAY BE SUSPENDED OR REVOKED FOR CAUSE ~ <br />
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