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BILLING 1993 - 2006
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0232601
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BILLING 1993 - 2006
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Entry Properties
Last modified
9/4/2024 11:06:28 AM
Creation date
11/7/2018 10:40:18 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
1993 - 2006
RECORD_ID
PR0232601
PE
2361
FACILITY_ID
FA0004525
FACILITY_NAME
West Lane Chevron
STREET_NUMBER
9484
STREET_NAME
WEST
STREET_TYPE
LN
City
STOCKTON
Zip
95210
APN
09055063
CURRENT_STATUS
01
SITE_LOCATION
9484 WEST LN
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\W\WEST\9484\PR0232601\BILLING 1993 - 2006.PDF
QuestysFileName
BILLING 1993 - 2006
QuestysRecordDate
4/11/2018 6:53:39 PM
QuestysRecordID
3851726
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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SAN ,LOAN COUNTY PUBLIC HEALTH SE6 ICES <br /> • 304 E. W ERER AvE., D FLOOR S'rocfiroN,CAI PH (209)468-3420 <br /> KARFN HIRSI. M.D., M.P.H., IIFALHI 0I:11CFR <br /> DONNA UGAN.. R.E.H.S.,DIRRECFORR EENVIRONh4FFNIAL HEALTH DIVISION <br /> SAN 9AQNU A91k CER9A TAED PL AGENCY <br /> PERMIT TO OPERATE. <br /> Program Permit Permit <br /> Record ID Number Program Code and Description Valid <br /> PRO51426 PT0010463 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 1/1/01 To 12731/01 <br /> Hazardous Waste Generator Program: <br /> California Health and Safety Code Div.20,Chap.6.5,Art.2-13 Sec.25100 et seq,and Title 22 California Code of Regulations,Chap.20. _ <br /> - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - .. . . . . - - - - - - -- - - - - - - - <br /> PR023260 2300-UNDERGROUND STORAGE TANK FACILITY 1/1101 To 12/31101 <br /> Underground Storage Tank Program: <br /> California Health and Safety Code Div.20,Chap.6.7 and Title 23 California Code of Regulations Chap. 16. _ <br /> Wfi "lank# Tank Record ID Permit# Capacity Contents Permit Status System Type <br /> 2360 3 390002326010260103 PT0006439 15,000 UNLEADED Active,billable DOUBLE WALLED <br /> 2360 2 390002326010260102 PT0006438 12,000 UNLEADED Active,billable DOUBLE WALLED <br /> 2362 1 390002326010260101 PT0006437 12,000 UNLEADED Active,billable DOUBLE WALLED <br /> BOB-1D#: 44-035047` - <br /> Underground Storage Tank Permit Conditions <br /> 1) The Pentium Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the LIST syslem(s)fails to remain in compliance with these Permit Conditions. <br /> 2) In order In maintain the opemting permit.the permit holder shall comply with the II&S Code,Div.20,Chap.6.7 and 6.75;and CCR,Title 23,Chap.16 and I&as well as any <br /> rnnditions established by San Joaquin County. <br /> 3) If the Tank Operatogs)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 PermiUee shall ensure that <br /> 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 Envirnnmemal Health Division(PHS/FI ID)and are considererd UST Penoll Conditions. <br /> 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 Primitive shall rumply with the monitoring procedures referrenced in this permit. <br /> 6) The Permittee shall perform testing and pre%crunc maintenance on all leak detection monitoring equipment annually,or more frequently ifspecified by the equipment manufacturer, <br /> and provide documentation of such servicing to this office. <br /> 7) In the event of a mill,leak,or other unauthorized release,the Pemmitec shall comply with the requirements of Title 23 CCR.Chap.16.Art.5,and the approved Emergency Response <br /> 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 least three years from the date the monitoring <br /> was perfmincd. <br /> 9) The PI ISM ID shall be notified of any change in ownership or operation of the LIST system within 30 days ofsuch change. <br /> 10) lPon any change in equipment,design or operation of the UST system(including change in tank contents or usage),the Persil to Operate will be subject to review,modification or <br /> revocation. <br /> 11) Construction,repair and/or removal pcmmi(S are required from the PHS/F,IID prior to any change,repair or removal of UST system equipment. <br /> 12) The Permilee 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 ro Operate shall not be considered permission to violate any laws,ordinances or statutes of any other[Federal,Slate or Local agency. <br /> 14) A"Condhional"Permit may be revoked ifconections specified on the inspection report are not completed by the dates) indicated. <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: ARCO PRODUCTS CO <br /> DBA: ARCO STATION <br /> THIS FORM MtI,5'F BE DISPLAYED CONSPICUOUSLY ON THr PREMISES <br /> Regulated Facility: ARCO AM/PM* Facility ID FA0004525 <br /> 9484 WEST LN Account ID AR0004216 <br /> STOCKTON. CA 95210 Issued 8/24/2001 <br /> Billing Address: ATTN : W LM INC AM/PM <br /> ARCO AM/PM' <br /> 9484 WEST LANE <br /> STOCKTON, CA 95210 <br /> 7023.rpt <br />
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