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SU0002414
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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T
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12 (STATE ROUTE 12)
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5790
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2600 - Land Use Program
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UP-91-03
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SU0002414
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Entry Properties
Last modified
11/19/2024 3:48:10 PM
Creation date
9/9/2019 10:26:42 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0002414
PE
2626
FACILITY_NAME
UP-91-03
STREET_NUMBER
5790
Direction
W
STREET_NAME
STATE ROUTE 12
City
LODI
ENTERED_DATE
10/26/2001 12:00:00 AM
SITE_LOCATION
5790 W HWY 12
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\T\HWY 12\5790\UP-91-03\SU0002414\CORRESPOND.PDF
Tags
EHD - Public
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2 . Equipment Used Gas Pumps , Refrigeration, etc. <br /> 3. Hours and Days of Operation 24 Hours <br /> 4 . Employees: Total 9 Per Shift 3 <br /> 5 . Number of customers/day 800 <br /> 6 . Trucks/day: Incoming 2 Outgoing 2 <br /> 7 . Electrical power and natural gas consumption: estimate amount if <br /> substantial Not Substantial <br /> 8 . What, if any, off-site utility service, or road improvements , <br /> will be required? DeBrog2i Road Improvements Hwy. 12 <br /> widening . <br /> 9 . Specify any hazardous materials involved in the operation <br /> ( including toxic substances, flammables or explosives ) . <br /> Flammables (gas) <br /> 10 . Describe any air pollutants or odors from the operation and any <br /> permits needed from the Air Pollution Control District . <br /> Gas Pumps and Tanks <br /> 11 . Describe source of any light or glare from the project : <br /> Fuel Island Lighting <br /> 12 . Amount of noise or vibration from the project : <br /> Ne2li2ible <br /> ❑ SIGNATURE <br /> I certify under penalty of perjury that I am (check one ) : <br /> ❑ Legal Property Owner (owner includes partner , trustee, trustor , <br /> or corporate officer ) , <br /> U Owner ' s legal agent (attach proof of the owner ' s consent to file <br /> the application ) , <br /> and that the foreoing is tru and correct . <br /> L / �c 2 7 990 <br /> (Signature ) (Date ) <br /> i <br /> Site Approval Application - 4 - ( 6/86 ) <br />
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