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BILLING_PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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MADISON
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2300 - Underground Storage Tank Program
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PR0231162
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BILLING_PRE 2019
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Entry Properties
Last modified
7/13/2022 2:40:01 PM
Creation date
11/7/2018 3:50:36 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231162
PE
2381
FACILITY_ID
FA0003728
FACILITY_NAME
PLYMOUTH SQUARE
STREET_NUMBER
1319
Direction
N
STREET_NAME
MADISON
STREET_TYPE
ST
City
STOCKTON
Zip
95202
CURRENT_STATUS
02
SITE_LOCATION
1319 N MADISON ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
KBlackwell
Supplemental fields
FilePath
\MIGRATIONS\M\MADISON\1319\PR0231162\BILLING 1985-1999.PDF
QuestysFileName
BILLING 1985-1999
QuestysRecordDate
9/1/2017 7:18:48 PM
QuestysRecordID
3620679
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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EWIRONMENTAL HEAL POST ON PREMISE <br /> ISSUED: EXPIRES: PERMIT NO. <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> IO, i UBC EBiCe'P _i , i'a'i_; ENVIRONMENTAL HEALTH DIVISION <br /> Permit Issued to: 1601 E. HAZELTON AVE. • PHONE 468-3420 <br /> P.O. BOX 2009 • STOCKTON,CA 95201 <br /> 3i9 N. MADISON OPERATING PERMIT FOR UNDERGROUND <br /> . T C ICKTON CA 9S'202 <br /> STORAGE TANK FACILITY <br /> Status: 01 ID No! PLYM a--- <br /> DELMAR BOLI`ON TANK OWNER t_ t ,t_ <br /> �.tiit;'mhdi iiIUSiNI3 'rCItJNiaflTlON <br /> 1'19 N. MADISON 5 S HILL ST, C"I)ITE 407 <br /> _:T OCKT IN CA 9S Cis = APdtiELEE. CA 9001 <br /> NUMBER OF TANKS <br /> 0I <br /> Tank: Description, Product Capacity 0M S+.acus <br /> ---- ----------- ----------- ------ --- ------ <br /> 0001 TANI:.S Motor. VehiC-ie Duel =`0 7 (0 <br /> CONDITIONS <br /> 1. This permit expires on December 31, of the current year. Inspection fee will be billed annually. <br /> 2. This permit is granted to the tank owner who accepts responsibility for operating and monitoring the tank <br /> system according to state underground storage tank laws and regulations and conditions set by the county. <br /> 3. Tank operators, if different than the owner, shall operate and monitor the tank system according to the <br /> written operating agreement required under Section 25293, Chapter 6.7, Division 20, California Health and <br /> Safety Code. <br /> 4. Tank owner shall notify the Environmental Health Division of any proposed change in operator or ownership <br /> of tank system. <br /> 5. Upon a significant change in design or operation of this facility, permit will be reviewed by the <br /> Environmental Health Division. <br /> 6. This permit cannot be considered as permission to violate existing laws, ordinances, regulations or statutes <br /> of other governmental agencies. <br /> I <br /> Jogi Khanna, M.D., MPH Ran V^' oti, REHS, Director <br /> Health Officer NON-TRANSFERRABLE Envi Wntal Health Division <br /> THIS PERMIT MAY BE SUSPENDED OR REVOKED FOR CAUSE <br />
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