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SITE INFORMATION AND CORRESPONDENCE
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3500 - Local Oversight Program
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PR0544465
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
5/16/2019 2:26:46 PM
Creation date
5/16/2019 11:29:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0544465
PE
3528
FACILITY_ID
FA0005837
FACILITY_NAME
STEFANOS GASOLINE*
STREET_NUMBER
1419
Direction
E
STREET_NAME
CHARTER
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
15137016
CURRENT_STATUS
02
SITE_LOCATION
1419 E CHARTER WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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STATE ID NUMBER 00000048386002 <br /> APPLICATION FOR PERMIT To OPERATE UNDERGROUND STORAGE TANK <br /> ( OI NEW PERMIT ( 1 05 RENEWED PERMIT ( 1 07 TANK CLOSED '. ( ) 09 DELETE FROM FILE (NO FEE) <br /> rt T 02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT t 1 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> 4AME(CCRPC�AT:CN,IND I'.'I i.UAL OR PUBLIC AGENCY) =p(u <br /> AGENCY ONLY <br /> )STEPHEN J. GARDELLAr 5R. i FED l 1 02 STATE ( ,) 03 LOCM <br /> STREET ADO;ESS CITY STATE Z, <br /> =P <br /> I' P.O. BOX 224 VIC' OR CA 45253 <br /> f iI FACILITY <br />, �?4C:L:TY N.:Y_ DEALER/FOREt1AN/SUP!RViSCR• , <br /> . STEFANO'S GASOLINE STEPHEN GARDECLA <br />} ST=EST ACORES2 NEA;EST C;CSS STREET <br /> 1, ��1419 E. CHARTER WAY WILSON WAY <br /> 1CI'Y COU14TY ) Zir, <br /> fi STOCKTON SAN JOAQUIN 95205 <br /> M'ILINO A07FESS CITY STATE 22P <br /> P.Q. BOX 224 VICTOR CA 95253 <br /> PHONE W/AP.EA CODE TYPE OF E)US:NESS <br /> 209-368-124B [ ) 01 GASOLINE STATION (X) 02 OTHER <br /> NVr BSR OF CVN7A:NS=S RURAL Ae-EAS 'ONLY 7C:4NSHIP RANG. SECTION <br /> III 24 HOUR EMERGENCY CONTACT P-ERSON <br /> LAYS: KA:*,E(LAST NAM! FIRST) ANDPMONE WIAREA COOE NIGMTS: NAtSt LAST NAME. FIRST) AND PHONE W/AF.EA CODE <br /> GARDELLA, STEPHEN J. SR. 204-368-1248 GARD£LLA, STEPHEN J. 209-368-1248 <br /> ' m <br /> COMPLETE THE FOLLOWING :ON A SEPARATE FORM 'FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (Xl 01 TANK ( 1 04 OTHER: CONTAINER NUMBER ()2 <br /> I <br /> B. MANUFACTURER (IF. APPROPRIATE): PERKINS YEAR "MFG' : 1971 SL*,EAR_ZN5TALLED.1971 . ( ) UNKNOWN <br /> 0. CONTAINER CAPACITY: 10000 GALLONS f 1 UNKNOWN E. DOES THE CONTAINER STORE: ( ) 01 WASTE (X) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL-OR WASTE OIL'? (X) 01 YES ( ) 02 NQ IF YES CHECK APPROPRIATE BOXIES): <br />
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