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BILLING
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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M
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MICKE GROVE
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11374
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2300 - Underground Storage Tank Program
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PR0503134
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BILLING
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Entry Properties
Last modified
11/5/2020 11:24:47 PM
Creation date
11/7/2018 7:11:20 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
RECORD_ID
PR0503134
PE
2332
FACILITY_ID
FA0005694
FACILITY_NAME
SEVERSON, CLARENCE C
STREET_NUMBER
11374
Direction
N
STREET_NAME
MICKE GROVE
STREET_TYPE
RD
City
LODI
Zip
95240
APN
05914003
CURRENT_STATUS
02
SITE_LOCATION
11374 N MICKE GROVE RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\M\MICKE GROVE\11374\PR0503134\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
10/9/2017 8:57:54 PM
QuestysRecordID
3671703
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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PAGE 276 STATE MATER RESOURCES CONTROL BOARD 10/04/85 <' <br /> HAZARDOUS SUBSTANCE STORAGE CONTAINER INFORMATION FOR S.AN JOAQU,I1 GQUNTY <br /> CONTATNER :TYPES : "2 : <br /> ( I=FARM MOTOR VEHICLE FUEL TANKS , 2=ALL OTHER PRODUCT TANKS, 3=TASTE TANKS, 4=SUMPS, 5=PITS, PONDS , LAGOONS & OTHERS) <br /> I O W.N E R <br /> CLARENCE C. SEVERSON E <br /> 1I374 'N MICKE GROVE RD . LORI GA 95;240 g <br /> . I <br /> II VCLARENCE. <br /> rACILITY <br /> MAILING ADDRESS DEALER/FOREMAN/SUPERVISOR TYPE OF BUSINESS <br /> C . SEV.ERSON T0WNSHIP/RAN.,CE/SECTION. TELEPHONE NO . OF CONTAINERS . <br /> 1.1.374 :.N. MICKE GR.O..VE RD <br /> LODI CA 95240 11374 N MICKE GROVE RD . HgME ,USE ': <br /> LODI GA 95240 <br /> CROSS STREET j <br /> ( 209 ) 334-2938 2 <br /> C3 i <br /> (1 <br /> i <br /> III 24—HR . CONTACT PERSON / 'TELEPHONE <br /> DAY SAME (209 ) . 334:--2938% NIGHT : SAME ( 209 ) 334-2938 <br /> a� OWNER ASSIGNED CONTAINER NUMBER : 1 * STATE BOARD ASSIGNED CONTAINER ID NUMBER : 00000018493001 * * ** <br /> IV DESCRJPTION. <br /> A . CONTAINER TYPE <br /> TANK . E . ;REPAIRS NONE IF YES:: WHEN <br /> B MANUFACTURER/YR OF MFG <br /> F.. : C.URRENTL:Y USED YES; IF NO,. YEAR ':DF . LAST USE _ ! <br /> C . YEAR INSTALLEb UNK G . :aTgR.ESPRODUCT <br /> D . CAPACITY (GALLONS ) 500 H . MOTOR VEHICLE FUEL/WASTE OIL YES CONTAINS : REGULAR <br /> IS GO.NTAINER LOCATED ON A FARM : NO <br /> V CONTAINER CONSTRUCTION <br /> A . THICKNESS : B . VAULTING : NON-VAULTED C . WA'L.LING : SINGLE � <br /> D . MATERIAL STEEL CLAD <br /> E . LINING UNLINED <br /> F , . WRAPASPHTPING TAR TAR OR _ <br /> VI PIPING <br /> A . ABOVEGROUND WIPING B . UNDERGROUND PIPING`: s .S()CTI(];N <br /> C . REPAIRS NONE IF YES, YEAR OF MOST RECENT REPAIR : <br /> VI1 LEAK DETECTION <br /> NOME <br /> VIII CHEMICAL COMPOSITION OF SUBSTANCES CURRENTLY STORED IN CONTAINER. <br /> 12032 REGULAR MOTOR VEHICLE FUEL <br /> fi <br /> 3 <br /> x <br /> - - <br /> { ... g <br /> i c <br /> w I <br /> i <br />
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