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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 JOAC -N COUNTY PUBLIC HEALTH Sr -VICES <br /> P O Box 388 &�WocKTon, CA 95201-0388 • PnoNE ,.^468-3420 <br /> ERNEST M. FUIIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> TIOG PIEWT FOR L1*MERGR1 STOWtAGE TAB+RIr;. FACILITY <br /> Tank Tank Permit Annual Pert.it Fee Valid <br /> HE 14umber _ Record ID Number Capacity _ Contents Permit. Status From To _ <br /> 2380 001 ,A'34101 00385'_ 171000 Unleaded 01 Active Permit 01101/97 12131/47 <br /> 2:80 002 TA134102 0038,65 12:000 Unleaded 01 Active Permit 01>O1/97 1Z <3/47 <br /> 003 TA134103 003056 5.1x70 Unleaded 01 Active Permit OIIOU97 12/3;/9? <br /> PERMIT C'ONDITION'S: <br /> 1) The PERMIT TD OPERATE will become void if ANNUAL PERMIT 'Fees and ''SERVICE Fees are not paid arrd/or the U9 systems) fails <br /> to remain in compliance with the PERMIT COID1TIONS. <br /> 2•i The PERMIT TO OPERATE is granted to the TANK OWNER who accepts responsibility for operating and monitoring t* UST system <br /> according to Uate underground storage tank laws afvJ regulations as well as any conditions establis" by San Joaquin County. <br /> 3) The TA04 OPERATOR(S), if different from the tarda owner, shall t and monitor the UST system according to the 611RITTEN <br /> OPERATING AGREEMENT required under Section 25293, Chapter 6 on 2G, >Iifernia Health and Safety Code. <br /> 4) The TAW OKR shall notify the Environmental Health Divi,.; n : opposed capme in operation or ownership of the VST <br /> system. <br /> 5) Upon any change in equipment; design or operation of this facility; the PE'n7!IT TO OPERATE will be reviewed by the <br /> Environmental Health Division. <br /> 6% A construction or- removal permit is required from the Fnvirormment.ai Healt,- _: .'.ion prior to any reuioal or <br /> change eA UST system equipment. <br /> 7) This PERMIT TO OPERATE shall not be considered permission to violate any existing laws, ordinances or statsies of ether <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE aTj 1ST FACILITY issued to, ARCO PRODUCTS C <br /> PCS BOX 60.3.3 <br /> ARTESIA, CA 9070 -6OS8 <br /> PERMITC: TO OPERATE a.r-r,:J ANNUAL PERMIT FEE PAYMENT,-; are NOT TRANSFERABLE <br /> ard r6ay be SUSPENDED cm REVOKED fc,r cause . <br /> THIS FUM KjST BE DISF'LAYE3) CO It--U0LXR-Y ON TGE PREMISES <br /> REGULATED FACILITa; A ' ..C� STATION #43A# Account ID: NOW <br /> W KETTLEMAN LN Facility ID; 003629 <br /> Li SDI ; C:, 9.5 240 Permit Print e ; 03/28/97 <br /> BILLING ADDRESS; ARCO PRODUCTS CO <br /> ATTN' ENVIRON HEALTH 8. S( =ETV <br /> PO BOX GOSS <br /> ARTESIA CA 97!0'2— <br />
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