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COMPLIANCE INFO 2003 - 2009
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231708
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COMPLIANCE INFO 2003 - 2009
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Last modified
5/14/2019 1:40:16 PM
Creation date
2/13/2019 2:56:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2003 - 2009
RECORD_ID
PR0231708
PE
2361
FACILITY_ID
FA0003619
FACILITY_NAME
ARP MINI MART CORP
STREET_NUMBER
25775
Direction
S
STREET_NAME
PATTERSON PASS
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
20910004
CURRENT_STATUS
01
SITE_LOCATION
25775 S PATTERSON PASS RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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EHD - Public
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ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> Donna K.Heran,RE.H.S. Unit Supervisors <br /> " Director 304 East Weber Avenue, Third Floor Carl Borgman,R.E.H.S. <br /> ' Al Olsen,R.E.H.S. Stockton, California 95202-2708 Mike Huggins, S.,R.D.I. <br /> l%y Douglas W.Wilson, <br /> R.E.H.S. <br /> C`9��F�Ra`P Program Manager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> Laurie A.Co R.E.H.S. <br /> Man Fax: (209) 464-0138 Robert McClellon,R.E.H.S. <br /> Program Manager Mark Barcellos,R.E.H.S. <br /> September 16, 2005 <br /> GIRA I . PATEL F"ICIL <br /> 25775 S PATTERSON PASS RD OPY <br /> TRACY CA 95376 <br /> Re: Former ARCO#6100, 25775 S. Patterson Pass Rd., Tracy, CA <br /> The San Joaquin County Environmental Health Department has been informed that you are the <br /> new owner of the underground storage tank system and property of the above mentioned <br /> property. Please complete the following items: <br /> 1. Underground Storage Tanks—Facility Form A—Provide all current information, sign <br /> and date at the bottom. <br /> 2. Information and Instructions for Obtaining A Permanent California ID Number: <br /> Complete the application for a California Hazardous Waste Permanent ID Number and <br /> fax it to (916) 255-4703. <br /> 3. Certification of Financial Responsibility/Letter from Chief Financial Officer: Complete <br /> the form provided and make a copy for our records. This document is required to be <br /> submitted annually. <br /> 4. Underground Storage Tank Monitoring and Response Plan: Complete and submit a copy. <br /> Retain onsite for future reference by employees. <br /> 5. Hazardous Materials Management Plan: Contact the Office of Emergency Services, Mr. <br /> Dennis Fields, at 468-3969 for information on updating this plan. <br /> 6. Report#5021: Update all information and sign and date. Bring with all other forms to <br /> our accounting office to pay for transfer fees. <br /> 7. A signed "Designated UST Operator"must be submitted with current information. <br /> 8. Go to: http://www.waterboards.ca.gov/cwphome/ust/regulator}-,/index.litml - rg_s to obtain <br /> the current Statutes (Underground Storage of Hazardous Substances) and UST <br /> Regulations that you are required to have for your monitoring and response plan. <br /> 9. Also enclosed for your information is a Best Management Practice for Storm water <br /> Management that you can use for your facility. <br /> If you have any questions please contact me at(209)468-3448. <br /> Thank you, <br /> Willy Ng, R.E.H.S. <br /> Senior Registered Environmental Health Specialist <br />
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