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BILLING_1985-2000
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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O
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120 (STATE ROUTE 120)
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17717
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2300 - Underground Storage Tank Program
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PR0231592
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BILLING_1985-2000
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Entry Properties
Last modified
11/19/2024 3:59:36 PM
Creation date
11/5/2018 10:15:26 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
1985-2000
RECORD_ID
PR0231592
PE
2381
FACILITY_ID
FA0000695
FACILITY_NAME
MOOD-N-FOOD MART
STREET_NUMBER
17717
Direction
E
STREET_NAME
STATE ROUTE 120
City
RIPON
Zip
95366
APN
20322020
CURRENT_STATUS
02
SITE_LOCATION
17717 E HWY 120
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\O\HWY 120\17717\PR0231592\BILLING 1985-2000.PDF
QuestysFileName
BILLING 1985-2000
QuestysRecordDate
8/11/2017 5:07:32 PM
QuestysRecordID
3572930
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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STATE IO NUMBER 00000011163003 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> 01 NEWmTT_ <br /> ( ) 05 RENEWED PERMIT l ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> QNDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( 1 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAMEIlCORFOPATION,IND:V:DUAL OR PUBL:C AGENCY) PUBLIC AGENCY ONLY <br /> f 1 01 FED I ) 02 SPATE ( 1 03 LOCAL <br /> E-Z SERVE, INC. <br /> CITY STATE ZIP <br /> ST=EET ADDRESS ABILENE �Tx 79602 <br /> 901 SOUTH 15T. <br /> II FACILITY <br /> DEALEP/FOREMAN/SUPERVISOR <br /> F=O:LITY 4-ME � <br /> "-&(;j <br /> ST=E=-T 41^KESS NEARfST CROSS STREET <br /> COUNTY ZIP <br /> RIPON SAN JOAQUIN _ _ -_ <br /> CITY STATE Z:P <br /> M-:LING AOOPESS � }g!�_'� 17� <br /> P.O. BOXY- <br /> Pr"NE W.'ADEA CODE /� TYRE OF B'JS:NESS <br /> (X1 01 GASOLINE STATION t ) 02 OTHER <br /> t:V"'9EP Cr C.^.1hTAINTRS <br /> 1 FURAL AREAS ONLY . TOWNSHIP PANNE SECTION <br /> 3 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> OA',S� NA'"f( LA .•T NAME FIRST) AND PHONE W/AREA CCOE NIGHTS: NAME( LAST NAME FIP.ST) AND PHONE W✓AREA CODE <br /> THE FOLLOWING ON A SEPARATE FORrill 1p t <br /> IV DESCRIPTION <br /> A. (X) 01 TANK it ) 04 OTHER _ CONTAINER NUMBER 57 <br /> B. MANUFACTURER (IF APPROPRIATE): BAGWELL YEAR MFG= C. YEAR INSTALLED 78 1 UNKNOWN <br /> I <br /> D, CONTAINER CAPACITY: 6016 GALLONS ( ) UNKNOWN E. DOES THE CONTAINLR STORE: 1 1 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES f ) 02 NO IF YES CHECK APPROPRIATE BOX(ES)'- <br /> 01 <br /> OX(ES):01 UNLEADED IX) 02 REGULAR ( l 03 PREMIUM ( 1 04 DIESEL l ) 05 WASTE OIL ( 1 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( I GAUGE ( 1 INCHES t ) CM (XI UNKNOWN <br /> B. t 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (XI 02 NON-VAULTED 1 ) 03 UNKNOWN <br /> C. 1 ) 01 DOUBLE WALLED (X) 02 SINGLE WALLED t 1 03 LINED <br /> O, (XI 01 CAPE•ON STEEL ( 102 STAINLESS STEEL ( ) 03 FIBERGLASS f 1 04 POLYVINYL CHLORIDE t 1 05 CONCRETE <br /> i ) 05 ALUMINUM 1 ) 07 STEEL CLAD f 1 08 BRONZE t 1 09 COMPOSITE ( 1 10 NON-METALLIC <br /> 1 1 12 UNKh"WN 1 ► 13 OTHER - - -� -----.-- --- - - <br /> - ------- --_- -- - -- - -�---- - PAGE 1 <br /> SC04-070185 (10/18/85) <br />
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