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BILLING_PRE 2019
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231963
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BILLING_PRE 2019
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Entry Properties
Last modified
1/11/2024 2:18:57 PM
Creation date
11/7/2018 10:14:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231963
PE
2361
FACILITY_ID
FA0006445
FACILITY_NAME
PG&E: Stockton Service Center
STREET_NUMBER
4040
STREET_NAME
WEST
STREET_TYPE
Ln
City
Stockton
Zip
95204
APN
117-020-01
CURRENT_STATUS
01
SITE_LOCATION
4040 West Ln
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
KBlackwell
Supplemental fields
FilePath
\MIGRATIONS\W\WEST\4040\PR0231963\BILLING 1985 - 2000.PDF
QuestysFileName
BILLING 1985 - 2000
QuestysRecordDate
8/2/2018 6:44:07 PM
QuestysRecordID
3953384
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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r. SAN JOeOIN COUNTY PUBLIC HEALTH VICES <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 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 /> Permit <br /> rogram embe Pro ram Code and Description Valid <br /> Record lD Number g <br /> PRO61382 PT0010024 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 111100 To 12131100 <br /> Hazardous Waste Generator Program: <br /> California Health an ty Code Div.20,Chap.6.5,Art.2-13 Sec.25100 et seq,and Title 22 California Code of Regulations,Chap_20. <br /> PR023196 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/00 To 12/31100 <br /> Underground Storage Tank Program: <br /> California Health and Safety Code Div.2Q Chap.6.7 and Title 23 California Code of Regulations Chap. 16. - --- -- ------- --- - <br /> - - on <br /> rllri a us a ype <br /> an _ _ _ _ _ ___ __ <br /> anK KUWroermi apo i y <br /> ve <br /> DOUBLE WALLED AUTOMATIC TANK GLACE <br /> 2360 9 390002319630196310 PT0006643 1 ,000 REGULARUNLEADEDDED Active DOUBLEWALLED INTERSTITAL MONITOR <br /> 2360 9 390002319630196309 PT0006643 1,000 WASTE OIL Active <br /> 2380 8 390002319630196308 PT0006639 1,000 OTHER Active <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 with <br /> these Penn it Conditions. <br /> 2) In order to maintain the operatingPermit,the permit holder shall comply with the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR,Title 23,Chap. 16 and <br /> 18,as well as any conditions established by San Joaquin County. <br /> 3) If the Tank Operators)is different 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 <br /> Permittee AS ensure that both the Tank Owner and tank Operator receive a copy of the permit. <br /> 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Division(PHS/EHD)and are considererd <br /> UST Permit Conditions. Copies of the Procedures and Emergency Response Plan most be attached to this permit or be rival able for review and/or inspection <br /> 5) �the UST site. <br /> re Yermrttee shall comply with the monitoring procedures refertenced in this permit. <br /> 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annual ly,or more frequently if specified by the <br /> equipment manufacturer,and provide documentation of such servicing to this office. <br /> 7) In the event of a spill,leak,or other unauthorized release,the Permitee shall comply with the requirements of Title 23 CCR,Chap. 16,Art.5,and the <br /> approved Emergency Response Plan. <br /> 8) Written records of all monitoring performed shall be maintained on-site by the operator and be available for inspection for a period of at least three years <br /> from the date the 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 of the UST system Including change in tank contents or usage),the Permit to Operate will be subject to <br /> review,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 ofthe anniversary date of the issuance <br /> 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 r <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: PG&E <br /> DBA: PG&E STOCKTON SERVICE CENTER <br /> Tank Owner: PG & E <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> P G & E STOCKTON SERVICE CTR Facility ID FA0006445 <br /> Regulated Facility: Account ID AR0008439 <br /> 4040 WEST LN Issued 912912000 <br /> STOCKTON, CA 95204 <br /> Billing Address: ATTN : ENVIRONMENTAL SPECIALIST <br /> P G & E STOCKTON SERVICE CTR <br /> PO BOX 930 <br /> STOCKTON, CA 95201 <br /> 7023.rpt 0 0. <br />
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