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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 JO' )UIN COUNTY PUBLIC HEALTH SERVICES <br /> P O Box 389%w-o STOc:KTON, CA 95201-0388 • Paoti(209) 468-3420 <br /> ERNEST M. FUIIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA HERAN, R..E..H..S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> EP lONTMCTN1AL HEALTH <br /> OPERATING PER"IT FOR U4DERGROLM STS TAW FACILITY <br /> Tank Tarn Permit Annual Permit Fee Valid <br /> P/E Number Record ID Number Capacity Contents Permit Status From To <br /> ?380 001 TA134101 003852 12,00 Unleaded 01 Active Permit. 01101/% 12/31/96 <br /> 2380 002 TA134102 03855 12,00 Unleaded 01 Active Permit 01101/% 12/31/96 <br /> 2380 03 TA134103 03&% 6,000 Unleaded 01 Active Permit 01101/% 12/31/% <br /> PERMIT CONDITIONS: <br /> 11 life PERMIT TO OPERATE will become void if ANNUAL PERMiT Fees and SERVICE Fees are not paid and/or the UST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) Ric PERMIT TO OPERATE is granted to the TANK OVER who accepts responsibility for operating and monitoring the UST system <br /> according to Stats underground storage tank: laws and regulations as well as any conditions established by San loaquu, County. <br /> 3) The TAW, OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to the WITTEN <br /> OPERATING AGREEMENT required under Section 25293, Chapter 6.7, Division 20, California Health and Safety Code. <br /> 4) The TAW OWER shall notify the Environmental Health Division of any proposed change in operation or ownership of the UST <br /> s-ystem. <br /> 5i Upon any change in equipment, design or operation of this facility, the 'PERMIT TO OPERATE will to reviewed by the <br /> Environmental Health Division, <br /> 6) A construction or removal permit is required from the Environmental Health Division prior to any removal or <br /> change of UST system ecK:ipment. <br /> 7) This PERMIT TO OPERATE shall not be considered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an UST FACILITY issued to: ARC±I PRODUCTS CO <br /> PO BOX G:038 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause . <br /> +} s # a m <br /> THIS FORM MST BE DISP'LAYEED C ICUKkP-=LY ON THE PREMISES <br /> REGULATED FACILITY; ARCO STATION #4:=4# Account ID; 0003207 <br /> Sol W KETTLEMAN LN Facility ID; 003529 <br /> LODI , CA 95240 Permit Printed: 05!02195 <br /> SILLPi; MORESS; <br /> ARCO PRODUCTS Ci l <br /> ATTN , ENVIRON HEALTH &+ SAFETY <br /> PO BOX 60:_8 <br /> ARTESIA, CA 90702-5-038 <br />
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