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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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PR0231341
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BILLING_PRE 2019
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Entry Properties
Last modified
9/15/2021 9:24:56 AM
Creation date
11/5/2018 3:46:31 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231341
PE
2361
FACILITY_ID
FA0003629
FACILITY_NAME
ARCO STATION #434*
STREET_NUMBER
501
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
03119028
CURRENT_STATUS
02
SITE_LOCATION
501 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\K\KETTLEMAN\501\PR0231341\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
6/24/2013 8:00:00 AM
QuestysRecordID
173835
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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SAN JOA-c`TJIN COUNTY PUBLIC HEALTH SERVICES <br /> 304 E.WEBER AVE.,IvdIRD FLOOR • STOCKTON,CA 95202 • F*.oPb(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 /> Y- TING PET'hi IT FOR Ut4)EPCq i'kWP STUIRACE Td ,. R ILITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> P/E Kk.mber Record ID Number Capacity Contents Permit. Status From To <br /> 2380 001 TA134101 003852 12,000 Unleaded 01 Active Permit 01/01/98 12/31/93 <br /> 2.480 002 TA134102 I',138S5 12,tX)0 Unleaded 01 Active Permit O1/01/38 12/31/98 <br /> 2380 003 TA134101 003856 61000 Unleaded 01 Active Permit 01/01/''3 12/31/98 <br /> PERMIT CONDITIONS; <br /> 1) The PERMIT TO OPERATE will become void if ANWAL PERMIT Fees and SERVICE Fees are Tint paid and/or the IJST sfstem(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> y_ The PERMIT TO OPERATE is granted to the TAW OWEI who accepts responsibility for operating and monitoring the LIST system <br /> according to State underground storage tank. laws and regulations as well as any conditions established by San Joaquin Crt.;nty. <br /> 3) The TANK OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to the BRITT-4 <br /> OPERATING AGREEMENT required under Section 25293, Chapter 6.7, Division 20, California Health and Safety Code. <br /> 4) The TAW,* OWNER stall notify the Environmental Health Division of any proposed change in operation or ownership of the UST <br /> system. <br /> Si ism any change in equipment, design or operation of this facility, the PERMIT TO OPERATE will be reviewed by the <br /> Environmental_ Health Division. <br /> 6i A construction or removal Permit is require_ from the Environmental Health Division prior to any removal or <br /> change of UST system equipment. <br /> 7) This PERMIT TO OPERATE stall not be considered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> N # 4 �k ?F �► ?Fs <br /> PERMIT TO OPERATE an UST FACILITY issued to; ARCA PRODUCTS CO <br /> Pi� EOX 6038 <br /> ARTE'SIA, CA 90702-603_, <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRAN'=FERAtLE <br /> an,' rosy be SUSPENDED or REVOKED for rause . <br /> THIS F {MMLIST BE DISPLAYDISPLAYM C04SPICUUJSLY 4TH THE PREMISES <br /> REGULATED FACILITY, ARCO STATION #434+ Account ID: 0003207 <br /> 501 W KETTLEMAN LN Facility ID: 003629 <br /> L ODI . CA 9S-140 Permit Printed; 03/02/98 <br /> BILLING ADDRESS: ARCO PRODUCT':: CO <br /> ATTN ; ENVIRON HEALTH b SAFETY <br /> PO BOX 6030, <br /> ARTES I A , C',`- 90701'-60 <br /> 2� <br />
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