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BILLING_PRE 2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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PACIFIC
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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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ENORON M ENTAL HEAL POST ON PREMISE <br /> ISSUED: EXPIRES: PERMIT NO. <br /> ryugust. '24, 1-94.; December SAN JOAQUIN LOCAL HEALTH DISTRICT i <br /> 1601 E. HAZELTON AVE. • PHONE 466-6781 <br /> Permit issued to: P.O. BOX 2009 • STOCKTON, CA 95201 <br /> f ti •Ji S!• :Iti%LL <br /> 61::1 f`AC 1#-I r' AVEN`= <br /> D li_:6;TCit ti:r _ : a;- OPERATING PERMIT FOR UNDERGROUND <br /> } ! STORAGE TANK FACILITY <br /> Z-ItuS <br /> JCIHN KENCi'IC'.1r-""1' TANK OWNER `r.'IFIC ;HELL <br /> 6131 i'K I F I C AVENt 7 i. 60,X 4348 <br /> :;11�:I`.TI;C�I CF? t� r;� =:IIc ;t;'f;i(�j CA <br /> NUMBER OF TANKS <br /> ()[_}iit IA*", Motor Vehicle Fuel 1i).4ioo 6 (3 <br /> 00 0:3 TAC•?I•':= Motor Vehicle Fuel 10,000 5 �y'= <br /> CONDITIONS <br /> 1. This permit expires in five (5) years and is renewable thereafter. Inspection fee will be billed annually. <br /> 2. This permit is granted to the tank owner who accepts responsibility for operating and monitoring the tank <br /> system according to state underground storage tank laws and regulations and conditions set by the county. <br /> 3. Tank operators, if different than the owner, shall operate and monitor the tank system according to the <br /> written operating agreement required under Section 25293, Chapter 6.7, Division 20, California Health and <br /> Safety Code. <br /> 4. Tank owner shall notify the Environmental Health Division of any proposed change in operator or ownership <br /> of tank system. <br /> 5. Upon a significant change in design or operation of this facility, permit will be reviewed by the <br /> Environmental Health Division. <br /> 6. This permit cannot be considered as permission to violate existing laws,ordinances, regulations or statutes <br /> of other governmental agencies. <br /> 111lL• ,_. _it. i •it Eider F't4'lEl1t• tUL'iC-C - =II F' 11=,1�_-i! �_i�' I'cV��I..ctt•3_ii1 I•31 IcSi�iil'- t.. I Correct <br /> t4he Yiolat-i_Slis by U•-- ' {_orr.pli•a:ice date(sf f_n th-e most recent ilii`') fat it.i+-Y <br /> i <br /> District Health Officer Director of Environmental Health <br /> THIS PERMIT MAY BE SUSPEND-0 OR REVOKED FOR CAUSE <br />
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