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BILLING
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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WATERLOO
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2537
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2300 - Underground Storage Tank Program
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PR0501561
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BILLING
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Entry Properties
Last modified
12/7/2020 10:29:07 PM
Creation date
11/7/2018 9:07:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
RECORD_ID
PR0501561
PE
2381
FACILITY_ID
FA0005147
FACILITY_NAME
E-Z FOOD
STREET_NUMBER
2537
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95205
APN
11914035
CURRENT_STATUS
02
SITE_LOCATION
2537 WATERLOO RD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\W\WATERLOO\2537\PR0501561\BILLING .PDF
QuestysFileName
BILLING
QuestysRecordDate
10/30/2017 9:45:30 PM
QuestysRecordID
3710201
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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STATE ID NUMBER 00000011242001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> (x) O1 NEW PERMIT ( 1 05 RENEWED PERMIT ( 9 07 TAIIK CLOSED s 1 ) 09 DELETE FROM FILE (NO` fEE] <br /> f ) 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT f 1 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(C0RPOP4TION,IN0IVIDUAL OR PU5LIC AGENCY) PUBLIC AGENCY ONLY <br /> E-Z SERVE, INC. ( ) 01 FED ( ) 02 STATE ( 1 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> 901 SOUTH 1ST. ABILENE TX 79602 <br /> II FACILITY <br /> FACILITY NAME IDEAL ER/FOP EMAN/SUPERVISOR <br /> E-Z FOOD <br /> STREET ADDRESS NEAR T C OSS STREET <br /> 2537 WATERLOO ROAD <br /> CITY COUNTY IIP <br /> STOCKTON SAN JOAQUIN 95205 <br /> !, MAILINS ADDRESS p f t <br /> �"-NE <br /> STATE ZIP <br /> I• .L�D�x� �7 r� ) n I 0 796 a4, <br /> PHONE W/AREA ODE (�. TYPE OF DUSIN'ESS <br /> 9�6�2-64CY ` (X) 01 GASOLINE STATION ( 1 02 OTHER <br /> NUMDER OF CONTAINERS RURAL AaEAS ONLY TOWNSHIP RANGE SECTION <br /> 3 <br /> -7 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME( LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> C Wo <br /> PLE E TN 0 - <br /> IV DESCRIPTION <br /> A. [X) 01 TANK f ) 04 OTHER: CONTAINER NUMBER 104 <br /> B. MANUFACTURER (IF APPROPRIATE): ,POOR YEAR MFG: C. YEAR INSTALLED 78 ( ) UNKNOWN <br /> D. CONTAINER CAPACITY: 9942 GALLONS ( 1 UNKNOWN JE. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X1 01 YES ( 1 02 NO IF YES CHECK APPROPRIATE BOX(ES)! <br /> ( ) 01 UNLEADED l ) 02 REGULAR (X) 03 PREMIUM ( ) 04 DIESEL ( 1 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: ( ) GAUGE ( ) INCHES ( ) CM (X) UNKNOWN <br /> B. ( 1 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 U14KNOWN <br /> C. ( 1 01 DOUBLE WALLED (X) 02 SINGLE WALLED ( 1 03 LINED <br /> 0. (XI 01 CARBON STEEL ( 1 02 STAINLESS STEEL ( 1 03 FIBERGLASS ( 1 04 POLYVINYL CHLORIDE l ) 05 CONCRETE <br /> ( ) 06 ALUMINUM ( 1 07 STEEL CLAD ( 1 08 BRONZE ( 1 09 COMPOSITE 1 1 10 NON-METALLIC <br /> ( 1 12 UNKNOWN ( 1 13 OTHER"- <br /> HSC04-070185 (10/18/851 PAGE 1 <br /> 1 <br />
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