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BILLING_PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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EL DORADO
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2300 - Underground Storage Tank Program
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PR0231082
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BILLING_PRE 2019
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Entry Properties
Last modified
10/19/2020 11:47:37 AM
Creation date
11/6/2018 3:17:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231082
PE
2381
FACILITY_ID
FA0003794
FACILITY_NAME
CIRCLE K STORE #5643*
STREET_NUMBER
1502
Direction
N
STREET_NAME
EL DORADO
STREET_TYPE
ST
City
STOCKTON
Zip
95204
APN
12708018
CURRENT_STATUS
02
SITE_LOCATION
1502 N EL DORADO ST
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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SAN JOA' 'TIN COUNTY PUBLIC HEALTH " RVICES <br /> P O Box 388 �. SI'OCRTON, CA 95201-0388 • P110Ni1209) 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> DATING Pt' MIT FOR UNDERGROUND STORAGE TANTS FACILITY <br /> Tard Tank Permit Annual Permit Fee Valid <br /> P/E Number Record ID "timber Capacity Contents Permit Status From To <br /> 23Ma 0011 TA108201 604889 12,000 Unleaded 01 Active Permit 01/41/95 12/31195 <br /> 2380 002 TA108202 004891 12,000 Unleaded 01 Active Permit 01/01/95 12/31/95 <br /> 23K 003 TA108203 004393 12,000 Unleaded 01 Active Permit 01101/95 12/31/95 <br /> PERMIT CONDITIONS; <br /> i) The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SERVICE Fees are writ Paid and/or the 1,JST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TAW.' OWNER who accepts responsibility for operating and monitoring the UST system <br /> according to State underground storage tank laws and regulations as well as any conditions established by San Joaquin Ccxanty. <br /> 3) The TANK OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to the MITTEN <br /> OPERATING AGREEMENT required under Section 25293, ;hapter 6.1, Division 20, California Health and Safety Code. <br /> 4) The TANK OWNER shall notify the Environmental Health Division of any proposed change in operation or ownership of the UST <br /> SYstem. <br /> 5) tJron any change in equipment, design or operation of this facility, the PERMIT TO OPERATE will be reviewed by the <br /> I Environmental Health Division. <br /> 6) A construction or removal permit is required from the Environmental Health Division prio,, to any removal or <br /> charge of sJ;T system equipment. <br /> 7) This PERMIT TO OPERATE shall Tint be considered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> I <br /> PERMIT TO OPERATE an UST FACILITY issued to; 76 PRODUCTS, COMPANY LLC <br /> PO BOX 25::76 <br /> SANTA ANA, CA 92799-5376 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause . <br /> # # t q. f <br /> THIS FORM MUST BE DISPLAYED CONSPICk)USLY ON THE PREMISES <br /> REGULATED FACILITY; UNOCAL #4409 Account. ID; 0003:379 <br /> 1502 N EL DORADO Facility IDs 003794 <br /> STOCKTON . CA 35204. Perpdt Printed: 01!04!96 <br /> BILLING ADDRESS; <br /> UNOCAL #4409 <br /> ATTN; 76 PRODUCTS CO . LLC <br /> Pis 60z 2g376 <br /> SANTA ANA, CA '3279'9-5:376 <br />
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