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EnvironmentalHealth
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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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EHD - Public
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� <br /> " SAN JO. }IN COUNTY PUBLIC HEALTHORVICES <br /> D^0Box 388 0 SuO«KTmN, CA 95201-0088 0 PHONE (209) "8-3480 <br /> EKNEST M. FuJlM0T0, M.Q., M.9.B., ACTING HEALTH OFFICER <br /> DONNA 82RAN. fl.E.B.8., DIRECTOR, ENVIRONMENTAL D8AC7B Dln00N <br /> �� <br /> m��� , ��1��^n^v����n �u^�^m� HEALTH <br /> 43T0kr�@� FAOCIK-ITY <br /> Tank Tank Permit Annual PerQit Fee Valid <br /> PIE Nu!ftber Record 10 Number Capacity Contents Permit Status From To <br /> 2-W_ N4 TA12Z.304 A06661 12,000 Unleaded 01 Active Permit 01101196 121/31/96 <br /> 2360 1306 TA122305 006664 12,A) Unleaded 01 Active Permit O1/O1/�� 1141/31/%236O O06 TA1223O6 0O6666 12,OOO Unleaded ` Ol Active 0�/O1/9E 12/31/96 <br /> ' <br /> PERMIT CONDITIONS: <br /> 1) The PERMIT TO 0PER8TE will become void if ANNUAL PERMIT Fees and S�RVTCE Fees are not paid and/0r the UST system(s) fails <br /> to remain in Cnmpliance with the PERMIT C0NDlTlONS <br /> 21 The PERMIT TO OPERATE is granted to the 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 conditions established by 6a5 Joaquin County. <br /> 3) The TANK OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br /> 0PAlNG ARBMN requireuer Sectin 2590, tptr 6.7. Division N, California Health and Safety Code <br /> 4> The TA*( 0WNER shall notify t�e Environmental Health Division of any proF-sed change in operation or @meership Of the JKST <br /> system. <br /> 5> Lip@D any change in equipment, design or operation of this facility, the PERMIT TO OPERATE will be rgVieMEd by the <br /> Environmental Health Division. <br /> 6) A construction or removal ppr0it is rBqjired from the EnVirnnmEmtAl Health Division prior to any removal or <br /> change of UST system equipment. <br /> 7) This PERMIT TO OPERATE shall not be considered permission to violate any existing \aws, ordinances or statutes of oUber <br /> federal, state or local agencies <br /> PERMIT TO n- RATE an UST FACT' ITY issued to,, SHELL OIL COMPANY <br /> PO BOX 4023 <br /> CONC[}RD, CA 94S24 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED c,r REVOKED for cause . <br /> lR_IS <br /> P0N�� D����K�&��� TAE PR���'SZ� <br /> REGULATEDFACILlTY: PH—CTF7C AVE HELL Account 1D; 0003261 <br /> 6131 PAC.IFIC AVE Facility ID: 0()2-2it'24 <br /> STOCKT(]N, CA 95207 Permit Printed; 05/02/96 <br /> 8lLLINGADDRESS| <br /> SH�LL OIL COMPANY INC <br /> ATTNi HS&E ADMIN SUPPORT/JOHN KOCH <br /> 1390 WILLOW PAGS RD ST 900 <br /> CONCORO, CA 94520 <br />
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