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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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PR0231356
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BILLING_PRE 2019
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Last modified
12/12/2023 1:07:04 PM
Creation date
11/5/2018 5:52:05 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231356
PE
2361
FACILITY_ID
FA0003815
FACILITY_NAME
TESORO (MOBIL) 68154
STREET_NUMBER
2500
Direction
W
STREET_NAME
LODI
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
02740006
CURRENT_STATUS
01
SITE_LOCATION
2500 W LODI AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\L\LODI\2500\PR0231356\BILLING 1985-1997.PDF
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EHD - Public
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0 <br />4 A. 4 <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />600 E. Main St. • Stockton, CA 95202-3029 a Phone (209) 468-3420 <br />Donna Heran, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br />PERMIT TO OPERATE <br />Program Permit Permit <br />Record ID Number Program Code and Description Valid <br />PRO516543 PT0011351 2220 - SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 5/1/2007 To 12/31/2007 <br />Hazardous Waste Generator Program: <br />In order to maintain the permit to operate, Hazardous Waste Generators shall comply with California Health and Safety Code, Div. 20, Chap. 6.5, Art, 2-13, <br />Sec. 25100 at seq,-and Ti _ miQCode of Regulations, Chap _20_ _____________________________________ <br />2300 - UNDEAGROUND STORAGE TANK FACILITY 5/1/2007 To 12/31/2007 <br />Title <br />2360 5 390002313560506804 PT0009080 12,000 MIDGRADE UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Monitonng <br />2360 6 390002313560506805 PT0009081 6,000 DIESEL Active, billable DOUBLE WALLED Continuous Interstitial Monitoring <br />2360 7 390002313560506806 PT0009082 6,000 PREMIUM UNLEADED Active, billable DOUBLE WALLED Continuous Interstitial Monitoring <br />Underground Storage Tank Permit Conditions <br />1) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the UST systems) fails to remain in compliance with these Permit Conditions. <br />2) In order to maintain the operating permit, the owner and operator shall comply with the H&S Code, Div. 20, Chap. 6.7 and 6.75; and CCR, Title 23, Chap. 16 and 18, as well as any conditions <br />established by San Joaquin County. <br />3) If the Tank Operetor(s) is different from the Tank Owner, or if the Permit to Operate is issued to a person other than the owner or operator of the tank, the Permittee shall ensure that both <br />the Tank Owner and tank Operator receive a copy of the permit. <br />4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Department (END) and are considererd UST Permit Conditions. The approved <br />monitoring, response, and plot plans shall be maintained onsite with the permit. <br />5) The Pennines shall comply with the monitoring procedures referenced in this permit. <br />6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually, or more frequently if specified by the equipment manufacturer, and <br />provide documentation of such servicing to this office. <br />7) In the event of a spill, leak, or other unauthorized release, the Permitee shall comply with the requirements of Title 23 CCR, Chap. 16. Ari. 5, and the approved Emergency Response Plan. <br />8) Written records of all monitoring performed shall be maintained on-site by the operator and be available for inspection for a period of at least three yeah from the date the monitoring was <br />performed. <br />9) The EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change. <br />10) Upon any change in equipment, design or operation of the UST system (including change in tank contents or usage), the Permit to Operate will be subject to review, modification or <br />revocation. <br />11) Construction, repair and/or removal permits are required from the EHD prior to any change, repair or removal of UST system equipment. <br />12) The Pemdnee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the date of the issuance of this pemdt. <br />13) This Permit to Operate shall not be considered permission to violate any laws, ordinances or statutes of any other Federal, State or Local agency. <br />14) A "Conditional' Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated. <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: TESORO SIERRA PROPERTIES LLC <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility USA GAS STATION #68154 <br />2500 W LODI AVE <br />LODI CA 95240 <br />Billing Address: ATTN : MADRID, CINDY <br />USA GAS STATION #68154 <br />3450 S 344TH WAY STE 201 <br />AUBURN WA 98001-5931 <br />7028.rpt <br />Facility ID FA0003815 <br />Account ID AR0003402 <br />Issued 6/18/2007 <br />
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