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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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Entry Properties
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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SAN JOAQUI COUNTY PUBLIC HEALTH SERVI�S <br />304 E. WEBER AVE„ TRIRD FLOOR • STOCKTON, CA 95202 • PHONE (209) 468-3420 <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 />SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br />PERMIT TO OPERATE <br />conn <br />m@ram trout Valid <br />liccnrd IU Nunnccr PNrgram ('Ode and Description <br />PRO51654 PT0011351 2220 - SMALL OUANTITY HAZARDOUS WASTE GENERATOR FACILITY <br />0120100 To 1213110 <br />Hazardous Waste Generator Program: 20. <br />' <br />California Health and Safety Code Div. 20, Chap. 6.5, Art. 2-13 Sec. 25100 at seq, and Title 22 California Code of Regulations, Chap. 0120100 To 1213110 <br />PR023135 DERGROUND STORAGE TANK FACILITY <br />Underground Storage an rogram: <br />California Health and Safety Code Div. 20, Chap. 6.7 and Title 23 California Code of Regulations Chap. 16. <br />an an tato erne apace y uncusEMIMTSCREIR <br />9buCIve <br />DIESEL ACIIVe DOUBLE WALLED INTERSTITAL MONITOR <br />2360 6 390002313560506805 PT0009081 6,000 DOUBLE WALLED INTERSTITAL MONITOR <br />2360 5 390002313560506804 PT0009080 12,000 . MIDGRADE UNLEADED Active DOUBLE WALLED INTERSTITAL MONITOR <br />2360 4 390002313560506803 PT0009079 12,000 REGULAR UNLEADED Active <br />Underground Storage Tank Permit Conditions <br />I ) 'The Permit to Operate wil l become void if Annual permit Fees and Service Fecs arc 1101 paid and/or the US'f systems) fails to remain in compliance with <br />these I'entit C'ondulonv. <br />tennit. the pemtit bolder shall comply with the I Ifti Code, Uiv.2(l, Chap. 6.7 and 6.75; and C:CIi,'Iitle 23, Chap. IG an <br />2) In enter to maintain the operating <br />19. as well ns any conditions established by San .Joaquin County. <br />3) I I'the'1'mtk O ictalor(s) is ddllerenl I'mnr the l:mk Holter, or irthc I'emti(to Operate is issued to a person other than the owner or operator of the lank. the <br />Permittee shall ensure that both the Tank Owner and tank Opcntor receive a copy of the permit. <br />4) USIIPenIlci <br />nittrCOnditionts. Copies orthe Emergency <br />and l?mergonse encytRespollsust lie e roved <br />emtLsl be alllxhcdlloethtislpermihorhesavaiable/for FI lreview and/or inspection <br />5) �ldt USI" site. <br />hen('e SI site shall comply with the monitoring procedures rcl'errenecd in this permit. <br />6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually, or more frequently ifspecified by the <br />equipment mane lachoer, and provide documentation of such seryicing to Ibis o Il ice. <br />7) In the event of a spill, leak, mother unauthorized release, the 1'emtitce shallcontply with the requirements of Thlc23 CCR, Chap. 16, Art. 5, and the <br />approved Emergency Response Plan. <br />8) \thriven records Of all monitoring perl'onned shall he maintained ml -site by the operdorand he available for inspection for a period ol'at least Three years <br />(oral the date the monitoring was performed. <br />9) The PHS/If I IU shall be notified orally change in ownership Or Operation of the USI'system within 30 days of such change. <br />10) Upgo mry change,it, equip local, design or operation ofthc US]' System (including change in link contents or usage). the Permit to Operate will IV subject to <br />resacwnr <br />, odilicahon or revocation. <br />11) Construction. repair and/or removal permits are required from the PI IS/I SI11) prior l0 any chance, repair or removal of II.SI' system e(pipment. <br />12) 'h he Permittee shall submit nn annual report documenting compliance will, lire UST Permit Conditions within 30 days ofthe anniversary date ofthe issuance <br />o f th is permit. <br />13) 'This Permit to Operate shall not be considered permission to violate any hoesordinances or not co of any other Federal, Slate ca Local agency. <br />14) A "Conditional' Permit may be revoked if corrections specified on the inspection <br />ction reportarc not completed by the dales) indicated. <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: USA GASOLINE CORP <br />Tank Owner: U S A GASOLINE CORP <br />"IMC FOR11 1111:1 BIS DISI'LA\'KD CONS.I('IIpUSLY ON THE PRF:NIISES <br />Facility ID FA0003815 <br />Regulated Facility. USA GASOLINE CORP #65 Account ID AR0003402 <br />2500 W LODI AVE Issued 11130/2000 <br />LODI, CA 95240 <br />Billing Address: ATTN : C I DIAZIUSA GASOLINE CORP <br />USA GASOLINE CORP #65 <br />30101 AGOURA CT <br />AGOURA HILLS, CA 91301 <br />7023.rp1 <br />
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