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BILLING_PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231180
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BILLING_PRE 2019
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Entry Properties
Last modified
5/5/2020 11:56:33 AM
Creation date
11/7/2018 7:09:55 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231180
PE
2361
FACILITY_ID
FA0001143
FACILITY_NAME
UNIVERSITY OF THE PACIFIC
STREET_NUMBER
1081
Direction
W
STREET_NAME
MENDOCINO
STREET_TYPE
AVE
City
STOCKTON
Zip
95211
CURRENT_STATUS
02
SITE_LOCATION
1081 W MENDOCINO AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
KBlackwell
Supplemental fields
FilePath
\MIGRATIONS\M\MENDOCINO\1081\PR0231180\BILLING 1986-2000.PDF
QuestysFileName
BILLING 1986-2000
QuestysRecordDate
8/29/2017 6:42:38 PM
QuestysRecordID
3610775
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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SAN JOAQUI COUNTY PUBLIC HEALTH SESCES <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 /> errmt <br /> Program ermrt Program Code and Description Valid <br /> Record ID Number g <br /> PR022010 PT0001144 2228-HAZARDOUS WASTE GENERATOR FACILITY 111100 To 12131100 <br /> Hazardous Waste Generator Program: <br /> California Health and Safety Code Div.20,Chap.6.5,Art.2-13 Sec.25100 at seq,and Title 22 California Code of Regulations,Chap.20. <br /> ________ - -- ---- -- ---- ------ ----------1/1100 To 12131/00 <br /> PR023118 2300-UNDERGROUND STORAGETANK FACILITY <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 /> - - ------- - <br /> - -- - -- -- --- --- -- -- - <br /> ----- ---- --- ----------- <br /> ank x-MMI I& rni apacr y on <br /> on i lona <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 Permit Conditions. <br /> 2) In orderto maintain the operating permit,the permit holdershall 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 0 erator(s)is different from the Tank Owner,a if the Permit to Operate is issued to a person other than the owner or operator of the tank,the <br /> Permittee shall ensure that both the Tank Owner and tank Operator receive a ccorpy of the permit. <br /> erd <br /> 4) the Envirormen <br /> UWritten ST Permt C ndittions. Copies of the Procedures and Emerges onse lncy Responsan must be e Plan musoved t be attached to Uslpermittor beavailablefor rreeview and/or iand we nspection <br /> 5) FreUsite. <br /> STermrttee 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 annually,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, or other unauthorized release,the Permitee shall comply with the requirements of Title 23 CCR,Chap. l6,Art.S,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 toy change in equipment,design or operation of the UST system(including change in tank contents or usage),the Permit to Operate will be subjectto <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 of the 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 corections specified on the inspection report are not completed by the date(s) indicated. <br /> r <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: UNIVERSITY OF THE PACIFIC <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility ID FA0001143 <br /> Regulated Facility: UNIVERSITY OF THE PACIFIC Account ID AR0001141 <br /> 1081 W MENDOCINO AVE Issued 8000000 <br /> STOCKTON, CA 95211 <br /> Billing Address: ATTN : DERREL HOWDASHELT <br /> UNIVERSITY OF THE PACIFIC <br /> 3601 PACIFIC AVE <br /> STOCKTOCA 95211 • <br /> 7023.rpt <br />
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