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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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PR0231433
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BILLING_PRE 2019
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Last modified
8/8/2022 4:16:57 PM
Creation date
2/18/2020 10:05:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231433
PE
2361
FACILITY_ID
FA0003685
FACILITY_NAME
DBA CIRCLEK, REFUEL PETROLEUM INC.
STREET_NUMBER
419
Direction
S
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
21938610
CURRENT_STATUS
01
SITE_LOCATION
419 S MAIN ST
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
KBlackwell
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EHD - Public
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SAN JO) `JIN COUNTY PUBLIC HEALTH "IVICES <br /> 304 E.WEBER AVE., _CARD FLOOR • STOCKTON,CA 95202 • I—PNE(209)468-3420 <br /> KAREN FURsT,M.D., M.P.H.,HEALTH OFFICER <br /> DONNA RERAN,R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> _ *PATI PF- d I A. �-�P �� t a _3T��. TA.W` FlI -IL I ;Y <br /> Tarr Tank Permit Annual Permit Fee Valid <br /> P-E Number Record ID mer Capacity Contents Permit Status From To <br /> 001 TA143V_ l 004450 10,000 Ghleaded 01 Active Permit 011/011,98 #213119p <br /> 007 TA 143302 004081 10,NK) Unleaded 01 Active Permit 0111 i'+S 12/31f. <br /> +I <br /> 003 TA14KJ03 034082 10,W3 Diesel til Active Permit 01101/98 i�/31%' <br /> PERMIT CONDITIONS: _ <br /> #' Tr._ PERMIT O OP- '-!E will become void I � T , SERVICE Fees are not paid a1ldl/o- the V T system(s*I fails <br /> � FK T" OPERATE i become rs-, •f At�('dt1A'l. PERMIT Fees and ., <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> =2) The PERMIT TO OPERATE is granted to the TAW NNER who accepts responsibility for operating and monitoring the kST system <br /> according to State underground storage tank: laws and regulatI� 'S as well as any conditions estatsllshed ty San oaq}1ITI County. <br /> 3) The TAW OPER.ATCIR(S), if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING AGREEMENT required under Section •'5253, Chapter 5.7, Division 213, California Health and Safety Code. <br /> d! The TAt'N< OWNER shall notify the Environmental Health Division :sf any proposed change in operation or ownership of the UST <br /> system. _ <br /> 5) llpon any Change in e9jiFfitent, design Gr operation of th s facility, t`1e P—ERMli TO OP-ERATE will hr- reviewed by the <br /> Environmental Health Division. <br /> A construction or 1'ethClVai permit IS required frCdri the EfivirCs inei•al Health Division Fri,s, IS) a- emovai or <br /> change of UST system equip lent. <br /> %.I This PERMIT TO OPERATE shall not be considered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local age icie=•. <br /> PERMIT TO OPERATE an V FACILITY issued to; F;i_I'VE i 1 , ;i=N C�A RtrDA UrE <br /> F'11 E'11k. 1f._i'_1'-4 <br /> F,EF.,M T T'=' Ti_1 OF Eta: ATE and HNNI!AL F-LF;:M I FEE PAY11111ENT' are Nf-t r TRAha'=:PEE:AE'i.E <br /> rl J r a Y L, _•t-r--;F't.NDE1) ,:,1' REt�t.Ii ED f,-,P f i Joe . <br /> THI'S FCRS M$ 11w T SK 1)II SFt.�Y WPI kr-1-Y d T It <br /> REGIS ATED FACILITY: E:1_I°t'E T T PET ROIL-ElJM Atccd-'iit ID' 000326.3 <br /> 419 S MAIN Facility ID; 002KEIS <br /> M ;NT!EGA, Cr, 95336 Permit Printe+ds 03/02/98 <br /> 1 LING ADDRESS: _E50YE T T F'E'TRIDL F M <br /> F'1_I 60X. 10')' '-1 <br /> -.,A'.-IDA . CA i S: FS,G" <br /> } <br />
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