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BILLING_PRE 2019
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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 JO JIN COUNTY PUBLIC HEALTV"VICES <br /> P O Box 388 3TocHTON, CA 95201-0388 * PHo 209) 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> -111"i-k' I g s tM40LER !STORAGE 114K. FACILITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> P/E Number Record ID Number Capacity Contents Permit Status From To <br /> 3n0 Cil TA143301 004080 10,000 Unleaded 01 Active Permit 01/01/96 12/31/96 <br /> ! $0 002 TA143302 004081 101000 Unleaded 01 Active Permit 01/01/9+ 12/31/96 <br /> 200 003 TA 143'03 004082 10,000 Unleaded 01 Active Permit. 01/01/96 12/31/96 <br /> PERMIT CONDITIONS : <br /> 1) The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SERVICE Fees are not paid and/or the UST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TAMC OWNER whn accepts responsibility fur i-peand monitoring the yN:T system <br /> according to State underground storage tank laws and regulations as well as any conditions established by Sar, Joaquin County, <br /> 3) The TAW (FERATOR(S), if .different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING AGREEMENT required under Section 25293, Chapter 6.7, Division 2-0, California Health and Safety Cede. <br /> 4) The TANK' OWNER shall notify the Environmental Health Divi5lon of any proposed change in operation or ownership of the U'ST <br /> system. <br /> 5) Upon any change in equipment, design or operation of this facility, the PERMIT TO OPERATE will be revifiwed by the <br /> Environmental Health Division. <br /> 6) A construction or removal permit Is required from the Enviromiental Health Division prior to ani femoval or <br /> change of US!' system equipment.. <br /> 7) This PERMIT TO OPERATE shall not be considered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> FERMIT TO TE an UST FACILITY issued to, -0--o cT..r, _STAN AND C';CIN <br /> MAIN ST <br /> PERMITS TO OPERATE and ANNUAL PERMIT EEE PAYMENTS are NOT TRANS E:RADLE <br /> and rf,a y be SUSPENDED or REVOKED f o r c c1iAse . <br /> # :# <br /> THIS F= ib MNST BE ii1—SP", PIED C0NSP.TCtJk-. '* MISES <br /> REGULATED FACT!ITY E OYE.TT F'ETE3Oi_r.UM � Account ID: t7170:3*2h, , <br /> 419 '=. MAIN Facility ID: 0ci=68S <br /> MANTE:C:A, CA 9-53—IS Permit Printed, OS/C)2.196, <br /> BILLING ADDRES'3, <br /> E. YE t T F'ETROLE'j►I <br /> ATTN° BOYETT PETPOLEt.m <br /> PO BOX" 1699 <br /> y <br />
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