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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231887
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BILLING
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Entry Properties
Last modified
12/8/2020 8:43:48 AM
Creation date
11/6/2018 2:55:12 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
RECORD_ID
PR0231887
PE
2361
FACILITY_ID
FA0000541
FACILITY_NAME
PACIFIC COAST PRODUCERS*
STREET_NUMBER
835
Direction
S
STREET_NAME
STOCKTON
STREET_TYPE
ST
City
LODI
Zip
95240
APN
N/A
CURRENT_STATUS
02
SITE_LOCATION
835 S STOCKTON ST
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\S\STOCKTON\835\PR0231887\BILLING .PDF
QuestysFileName
BILLING
QuestysRecordDate
8/11/2017 3:46:19 PM
QuestysRecordID
3571775
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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P �i ,RVICES <br /> SANQULN COUNTY PUBLIC HEALTI�' <br /> 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE(209) 468-3420 <br /> KAREN FURST,M.D.,M.P.H., HEALTH OFFICER <br /> DONNA HERRN,R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Permit <br /> Program permit ProgramCode and Description lira Valid <br /> Record m Number <br /> PR0220087 PT0000546 2228-HAZARDOUS WASTE GENERATOR FACILITY 111/01 To 12131101 <br /> Califomla Health a_n_d_5_afe Program: <br /> Hazardous Waste GeneratorCode Div.20,Chap_6.5cArt 2-13 Sec.25100 el seq,and Tide 22 California of Regulations,Chap.20_____________ <br /> __----__ - --- ------ ------ 111101 To 12131/01 <br /> PR0231887 AN11111111111L.UNDERGROUND STORAGE TANK FACILITY <br /> Under round Storage TanIMM <br /> California Health and Safe Code Div.20,Cha _6.7 and Title 23 California Code of Regulations Chap_16--------------------------------- <br /> Chap <br /> P ty <br /> P/E Tank# Tank Record ID Permit# Ca oris Contents Permit Status System Type Leak Detection <br /> 2362 5 390002318870188705 PT0005427 8,000 <br /> OTHER Conditional DOUBLE WALLED INTERSTRAL MONITOR <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 system(s)fails to remain in compliance withthese Permit <br /> Conditions. <br /> 2) In order to maintain the operating permit,the permit holder shall comply with the H&S Code,Div.20,Chap.6.7 and 6.75;and OCR,Title 23,Chap. I6 and 18,as we as <br /> myconditions established by San Joaquin County. <br /> 3) If the Tank Operator(s)is d ifferent 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 Pennittw shall <br /> ensure that both the Tank Owner and tank Operator receive a copyof the permit. <br /> 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Division(PHS/EHD)and are consldererd UST Permit <br /> Conditions. Copies of the Procedures and Emergency Response Plan must be attached to this permit or be available for review and/or inspection at the UST site. <br /> 5) The Permittee shall comply with the monitoring procedures referrenced in this permit. <br /> 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more fraquentlyif specified by the equipment <br /> manufacturer,and provide documentation of such servicing to this office. <br /> 7) In the event of a spill,leak,or other unauthorised release,the Permike shall comply with the requirements of Title 23 CCR,Chap.16,Art.5,and the approved Emergency <br /> Response Plan. <br /> 8) Written records of all monitoring performed shall be maintained on-site by the operator and be available for inspection fora period of u least three years from the date the <br /> monitoring was performed. <br /> 9) The PHS/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 ofthe USC system(including change in tank contents or usage),the Permit to Operate will be subject to review, <br /> modification or revocation. <br /> 11) Construction,repair and/or removal permits are required from the PHS/EHD prior to any change,repair or removal of UST system equipment. <br /> 12) The Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the anniversary date of the issuance of this permit. <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: PACIFIC COAST PRODUCERS <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility ID FA0000541 <br /> Regulated Facility: PACIFIC COAST PRODUCERS' Account ID AR0000540 <br /> 835 S STOCKTON ST Issued 3/2912001 <br /> LODI. CA 95240 <br /> Billing Address: ATTN : PACIFIC COAST PRODUCERS <br /> PACIFIC COAST PRODUCERS' <br /> 835 S STOCKTON STREET <br /> LODI, CA 95240-4893 <br /> 7023.rp1 • • <br />
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