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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
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KBlackwell
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EHD - Public
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SAN JOCOUNTY PUBLIC HEALTH ftVICES <br /> P O Box 388 STOCxTox, CA 95201-0388 • PHONE lO9) 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 /> Tania Tari PeTTAit Annual Permit Fee Valid <br /> P/E Plumber Record ID Number Capacity Cwontents Permit Status From To <br /> 2'A) 001 TA14:3:f01 004080 10,000 Unleaded 01 Active Permit 01/01/97 112/31/97 <br /> 2380 002 TA143302 004081 101000 Unleaded 01 Active Permit W01/91 12!31/97 <br /> 23W 003 TA143303 004092 101000 Diesel 01 Active Peri:it 01/101/97 12/31/97 <br /> PERMIT CONDITIONS: <br /> 1) Tr,c PERYIN TO OPERATE will beoome void if WWJAL PEeNI T Fees Kind SERVICE Fees are not paid and/or the system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) Tr,e PEFP'iIT TO OPERATE is granted to the TAW OhER 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 San Joaquin County. <br /> 3) The TAW. OPERATOR(S), if different from the }ink owner, shall operate and monitor fhe UST system according to the WRITTEN <br /> OPERATING AGREEI'4ENT required under Section 25293, Chapter 6.11, Division 20, California Health and Safety Code. <br /> 4) The TANK OWNER shall notify the Environmental realty, Division of any proposed change in operation or ownership of the UST <br /> system. <br /> 5) Upon any change in equipment, design car operation of this facility, t, fe PERMIT TO OPERATE will be reviewed by the <br /> Environmental Health Division. <br /> 5) A construction for removal permit is reauiped froth, the Environmental Health Division prior to any removal or <br /> change of UST system ecFjipqhent. <br /> 7) This PERMIT TO OPERATE shall not. be conside-ed permission to violate any existing laws, ordinances or staiutes of other <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an UST FACILITY issued to: E:0`z'E_T T, =TA,1,4 A R L1DALE <br /> Pn BOX 1093 <br /> AL..IDA , _:A ' E,:_:F,:P <br /> PEF.%,M I T' TO 0PEE:ATf_ and Atdhii.lAL PERM!T FEE PAYM'i--1T':- hit=;T TRAM' fr E RAE r- <br /> a��d ri,ay Lew W_-PEE <br /> ,r T,wt.1EL1 _tr F<t.'J1_-ff:::Ei.} ot.., c a;u=e . <br /> THIS; FQR—% 19'T WE I=�.I-`PffVED 4:, «' F Imo. ' ON THE P0311SES' <br /> REGtLATED FACILITY, Ell EYE= IF f 11:1 rE Pry;t9 E7 J. . Account 10: 00032E3 <br /> 419 S MAIN Facility 10: 00 E'S <br /> t <br /> ANT ECA, C:A _:5 3'._ Permit Printed, 031'21 _ <br /> BILLING ET—NETT PETR iLEI_M <br />
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