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BILLING_PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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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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y SAN JOt#JIN COUNTY PUBLIC HEALTH tVICES <br /> P O Box 388 • STOCKTON, CA 95201-0358 • PHONE (209) 468-3420 <br /> ERNEST M. FUIIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> is PERAT .N13 PERMIT FOR L)NDER GROt.ND STORAGE TAh4." FAC-I L I TY <br /> Taro Tank Permit Annual Permit Fee 'Valid <br /> P/E Numter Record ID NAer Capacity Content: Permit Status From To <br /> 2360 004 - - TA12230E OWE 61 12,000 Unleaded 01 Active Permit 01/01/97 12/:1/97 <br /> 23x0 0005 TA122KS 006664 12,000 Unleaded 01 Active Permit 01/41/37 02/31!47 <br /> 2S(� 0i�h TA12230C ^0S 12,4409 �leatded 01 Active Permit 01/01/9.7 12/31/97 <br /> PERMIT CONDITIONS: <br /> 1? The PERMIT TO OPERATE will treed void if ANROL PERMIT Fees and SERVICE Fees are not paid and/or ttie UST syste%(s) fails <br /> to remain in compliance witti the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TANK OWNER who accepts responsibility for operating and monitoring the UST system <br /> according to State undergrv)Tid �torage tank laws and regulations as well as any--conditions established by San Joaquin Count. <br /> 3) The TANS OPERATOP(S., if different irow the tank owner, shall operate and monitor the UST system according to the WRITTB4 <br /> OPERATING AGREEMENT required under Section 20K, Chapter 6.7, Division 20, California Health and Safety CN. <br /> 4) The TW.. OWNER shall notify the Environmental Health Division of any proposed char-; in operation or ownership of the UST <br /> system <br /> 5) tn a <br /> ny change in equipment, design or . raUion if this ?acilit+J the PERMIT TO OPER.l-r i,1:111 <br /> be reviewed, `°"r the <br /> 0vironmen+al Health Division. <br /> G) A construction or removal permit is T•equired from the Envirommnial Health Division prior to arr removal or <br /> change of U,i system equipment. <br /> 7) This PERMIT TO OPERATE shall not be considered Permission to violate any existing laws, ordinanc-rs or statutes of other <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an UST FACILITY issued z^; SHELL OIL C1=M" 'ANY <br /> PO BOX 40*23, <br /> CONCORD, CA 94S24 <br /> PERM r T Ti OPERATE ANNtJAL F`ERM I"T- Fi-� PAYMENTS ar-p- NOT TPr_�h;'=;i EI:PE=LL= <br /> R, <br /> re i_ -:1J:�;r'EP DED o,',- REVOKED f r_i1 <br /> j� <br /> Zq3T EI:E 1I SFILAYED CM .I -SOL" Y ON 71-!: PREMISES <br /> SES <br /> RFGtL.ATED FACILITY, -f-1� �,:, �. : : Account ID: 0003361 <br /> _. �,�r, <br /> Facility ID: 402324 <br /> C,_:}:;.sUra, C. ' permit Printed: 03/28/97 <br /> BILLING ADDRESS,- SHELL OIL 00 INC <br /> ATTN ; HS&E ADMIN C=UP,'0RT/_OHN 1:*"OC=H <br /> C.CINCOR'D . CA `D 4 24 <br />
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