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BILLING_PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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6131
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2300 - Underground Storage Tank Program
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PR0231223
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BILLING_PRE 2019
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Entry Properties
Last modified
12/16/2019 4:25:53 PM
Creation date
12/16/2019 3:24:48 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231223
PE
2361
FACILITY_ID
FA0002324
FACILITY_NAME
Pacific Service Station
STREET_NUMBER
6131
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
09746418
CURRENT_STATUS
01
SITE_LOCATION
6131 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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KBlackwell
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EHD - Public
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SAN JOS AN COUNTY PUBLIC HEALTH `'VICES �} <br /> 304 E.WEBER AVL., _HIRD FLOOR • STOCKTON,CA 95202 _..,o4E(209) 468-3420 <br /> KAREN FURST,M.D., M.P.H., HEALTH OFFICER <br /> DONNA HERAN,R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> �..: EDRAT:.:NG PEW17 a=Q..FR 'tDERGIORL: v� S-!'IGIREn Tele: . Ar-.�i_.1TY <br /> Tank Tank. Permit Anneal Permit Fee +Ialid <br /> P;E Number Record ID kjiber Capacity Contents Permit. status From To <br /> 004 TA122304 0%661 12,000 Unleaded 01 Active Permit 01/01/99 12/:31/99 <br /> .4.36(, OOS TA122105 006664 12,000 Unleaded 01 Active Permit 01/01/99 1:/31/99 <br /> X360 006 TA12006665 12;000 Unleaded 01 Active Permit 01/01/99 12/31!9' <br /> PERMIT CONDITIONS : <br /> 1) The PERMIT TO OPEkATE will become void if AIMNLAL PERMIT Fees and SER`JICE Fees are not paid and/or the UST system(s) fails <br /> to regain in compliance with the PERMIT CONDITI MR . <br /> 2) The PERMIT TO OPERATE is granted to ttae TANK OWNER who accepts responsibility for operating and monitoring the UST system <br /> according to State underground storage tank laws and regulations as well as any conditiovis established by San Joaquin County. <br /> 3) The TAW, OPERATOR(S), if different from the tank. owner, shall operate and monitor the LIST system according to the WRITTEN <br /> OPERATING AGREEMENT required under Section 25293, Chapter 6.7, Division 20, California Health and Safety Code. <br /> 4) The TANS' OWNER shall notify the Environmental Health Division of any proposed change in operation or ownership of the UST <br /> system. <br /> S) Upon any change in equipment, {design or ope7%at.ion of this facility, the PEKMIT Til OPERATE will be reviewed by the <br /> Environmental Health Divisia-" <br /> 6) A construction or removal permit is required from the Environmental Health Division prier to any rezrivai or <br /> change of UST system equipment. <br /> 7) This PER14IT TO OPERATE shall not be considered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> PERMIT TQ OPERATE an UST FACILITY issued to; ;HELL i!I L C-i MPAN T <br /> EF'M I T'3 TC! OPERATE;ATE: and Ah1N(jA_L PERMIT FEE PAYMENT'.... are t,4UT TF�'AhJ'=;F'ERA8LE <br /> and r}!a Y be t i'.�P NDEE, ;-;r` �`EV!_tKE D <br /> THIS FL-FM MUST BE D I SPLAYED CONSP I CUOLNS._Y ON THE FF-EM I SES <br /> :4, <br /> REUJLATED FACILITY; PACIFIC AVE :_-HELL Account ID; ONX3361 <br /> IE,1 + F'AC:IFIC.; AVE Facility ID; 002'3'_4 <br /> I=TAC- -"TON , r `�J5*.:,C I? Permit Printed; 04/25199 <br /> SILLPIG ADDRESS: PAC-I F I C- AVE SHELL <br /> G1:31 PACIFIC AYE <br /> rr- -r <br /> (:i=1 ,(1r <br />
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