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COMPLIANCE INFO 2003 - 2008
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0231706
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COMPLIANCE INFO 2003 - 2008
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Last modified
6/11/2019 11:42:03 AM
Creation date
4/10/2019 2:41:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2003 - 2008
RECORD_ID
PR0231706
PE
2361
FACILITY_ID
FA0000485
FACILITY_NAME
FLAG CITY CHEVRON
STREET_NUMBER
6421
STREET_NAME
CAPITOL
STREET_TYPE
AVE
City
LODI
Zip
95242
APN
05532024
CURRENT_STATUS
01
SITE_LOCATION
6421 CAPITOL AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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San Joaquin County DIRECTOR <br /> U /V• .co Donna Heran, RENS <br /> Environmental Health Deartment ASSISTANT DIRECTO <br /> R <br /> 600 East Main Street Laurie Cotulla,REHS <br /> Stockton, California 95202-3029 PROGRAM COORDINATORS <br /> • Carl Borgman, REHS <br /> Mike Huggins,REHS,RDI <br /> FO•R�� Website: www.sjgov.org/ehd Margaret Lagorio, REHS <br /> Phone: (209) 468-3420 Robert McClellon,REHS <br /> Fax: (209) 464-0138 Jeff Carruesco, REHS, RDI <br /> February 12, 2008 Kasey Foley,REHS <br /> KUIMARS KHAJERANDI <br /> 6421 CAPITOL AVE. <br /> LODI, CA 95242 <br /> RE: Flag City Chevron, 6421 Capitol Ave., Lodi,CA <br /> The San Joaquin County Environmental Health Department has been informed that you are the new owner or <br /> operator of the underground storage tanks (UST's) at the above-mentioned facility. Please complete the following <br /> items within 30 days of the close of escrow [CA Health and Safety Code section 25284(b)&(c)]: <br /> 1. Underground Storage Tanks—Facility Form—Provide all current information, sign and date at the bottom. <br /> 2. Underground Storage Tanks — Tank Forms — Provide all current information, sign and date the bottom of <br /> each form. <br /> 3. Certification of Financial Responsibility/Letter from Chief Financial Officer: Complete the form provided, <br /> and make a copy for our records. This document is required to be submitted to this office annually. <br /> 4. Underground Storage Tank Monitoring and Response Plans: Complete and submit a copy. Retain the <br /> originals onsite for fixture reference by employees. <br /> 5. Report#5021: Update all information for all programs at this site including the UST and Hazardous Waste <br /> programs, sign and date. Bring with all other forms to our accounting office to pay for transfer fees and the <br /> $98/hr UST Consulting fee,if necessary. <br /> 6. If you are the owner, you must submit a notification form identifying the "Designated UST Operator" for <br /> each facility owned.A notification form is enclosed for your use. <br /> 7. Go to: http://www.waterboards.ca. og v/cwphome/ust/re ug latoO/index.html -rgs to obtain the current statutes <br /> (Underground Storage of Hazardous Substances)and UST Regulations that you are required to have for your <br /> monitoring and response plan. <br /> 8. Also enclosed for your information is a brochure of Best Management Practices (BMP's) for Retail Gasoline <br /> Outlets that you can use as part of your BMP's for your facility. <br /> 9. Hazardous Materials Management Plan: Contact the Office of Emergency Services at 468-3969 for <br /> information on updating this plan. <br /> 10. Information and instructions for obtaining a permanent California EPA ID number: Complete the application <br /> for a California Hazardous Waste Permanent ID Number and fax it to(916)255-4703. <br /> 11. Board of Equalization UST Storage Fee Account Number—Call (916) 322-9669 to obtain a current number <br /> for this facility. <br />
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