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BILLING 1997 - 2007
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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PR0506724
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BILLING 1997 - 2007
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Entry Properties
Last modified
10/20/2021 3:35:09 PM
Creation date
11/5/2018 3:24:32 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
1997 - 2007
RECORD_ID
PR0506724
PE
2361
FACILITY_ID
FA0007594
FACILITY_NAME
WINE COUNTRY STATION/7-ELEVEN
STREET_NUMBER
1111
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
04931056
CURRENT_STATUS
01
SITE_LOCATION
1111 E KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\K\KETTLEMAN\1111\PR0506724\BILLING 1997 - 2007.PDF
QuestysFileName
BILLING 1997 - 2007
QuestysRecordDate
6/26/2018 11:16:08 PM
QuestysRecordID
3925701
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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SAN JOgUIN COUNTY PUBLIC HEALTHVICES <br /> 304 E. WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 <br /> OFNE (209)46$-3420 <br /> KAREN FURST, M.D., M.P.H., HEALTH OFFICER <br /> DONNA HERAN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> CFERATING PEFNIT FOR LNIDER AX. STO FRAC. T.Ok FAC I L I T <br /> Tack F'ei•fi!it• <br /> PIE l a i r Record l r Annual Permit. Fee Valid <br /> 4 z)C 1`ur"ber Capacity C= tee+.s Permit Stat-lis F <br /> r TA5077E$ � a '{ `� k Ilr ' ro'1, } <br /> , 1;_i 007 T 2 j rieades C!I Active Pr-rl�it �111CIi143 121311 <br /> A51377 4 C'O4� d :4,000 Prelri Unleaded Ol Active Per€flit. 063.101/98 121311''-rI <br /> PERMIT CONDITIONS: <br /> I? The PERMIT TO OPERATE will become voi=d if AN WAL PERMIT Fees and SERVICE Fees are not Paid and/or the UST systemfst fails <br /> to remain in c0FK'i2nCe with the PERMIT CONDITIONS. <br /> 2; The PERMIT TO f1U}FATE is granted to the T± (k: t1tR who acreFs responsibility for Mrating and llonitr,rin the 4T system <br /> according to State underground storage tank laws an rea�lati;ins as well as an <br /> :3j The TANK OPF ATt?Rf3:�, if different frac! the tack t+wner, shall cher to - y [OR-jitiOns established by San .F�quin CC�l�irt..y. <br /> OPERATING AGREEMENT required under Section 25243, Chapter C.7, Division 20, California Neaittor the LiST stal�d�3afety��ode.the BITTEN <br /> 41 The TAfJk (VER shall notify thre Environmental Health Division of arly Pro�cised chane' in OPer�atic"n or c,wnersh,iP cif the ORT <br /> system. <br /> S) IjPon any charge in equiPment-, desi911 or E�Pe'r`'atic`T' Of Dlis facility, the PERMIT TO OPERATE will be reviewed by the <br /> Environmental Health Division. <br /> A ronstructicin or removal Permit is i•egiiired fI011 the Environmental Health Division prior to any removal or <br /> charr'3e of LIST stste*!'j eguimment. <br /> 7p This PERNf TO OPERATE shall not be considered permis_ion t-c- vic+iatR any ex'i4#irY3 laws, ordinances c+r statutes of otherfederal, state oT local agencies. <br /> PERMIT TO OPERATE an 1JST FACILITY issu&j to: l.�lgil_It_`=,�'{ CIIL INC <br /> E;T1 iCk-::T1-IFS, r:A '9.520 <br /> FERM I T'::° TCI CIPERATE a-e!+J ANN(JAL PERMIT FEE <br /> �� F'A'Yt•iElIT'E- :t re hJ1;9T TF;ghi'=zFE.FtAIo>LE <br /> REVI_IP::ED f c <br /> :i <br /> T141S FORM M)ST BE DI' LAYED C0ftSPICU;--kJS--LY �� THE I E ISFE- <br /> 31 <br /> r'EGULATED FACILITY; WO-OL.'_EY OIL. C:'1--'/ CJ.9EF,T: F`E T RO Account ID, 0,01Y,2083 <br /> 930 E VICTOR RD Facility !D: 00,S5,,4 <br /> LOD I ' CA 9S `t'-I Perir,it Printe+j, OSI02148, <br /> BILLING ADDRESS; I�;I`11�IL'._;F' I�11�_ C:1-1:/F EIF,EFZT:M; F'ETF,'I_1 <br /> ATTN i-,il iRM CF:�J <br /> 3 TOCK T01,N] , 2"0 <br />
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