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COMPLIANCE INFO_1995-2004
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2300 - Underground Storage Tank Program
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PR0231070
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COMPLIANCE INFO_1995-2004
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Last modified
1/30/2023 2:09:10 PM
Creation date
6/3/2020 9:43:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1995-2004
RECORD_ID
PR0231070
PE
2351
FACILITY_ID
FA0006439
FACILITY_NAME
COUNTRY CLUB MOBIL CIRCLE K
STREET_NUMBER
2575
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
CURRENT_STATUS
01
SITE_LOCATION
2575 COUNTRY CLUB BLVD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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SJGOV\rtan
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FilePath
\MIGRATIONS\UST\UST_2351_PR0231070_2575 COUNTRY CLUB_1995-2004.tif
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EHD - Public
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ENVIRONMENTAL HEALTH%EPARTMENT <br />Pp U 1 ly <br />c?� Donna K. Heran, R.E.H.S. <br />�. �• �:< <br />Director <br />Al Olsen, R.E.H.S. <br />Program Manager <br />F o R Laurie A. Cotulla, R.E.H.S. <br />Program Manager <br />July 6, 2004 <br />SAN JOAQUIN COUNTY <br />304 East Weber Avenue, Third Floor <br />Stockton, California 95202-2708 <br />Telephone: (209) 468-3420 <br />Fax: (209) 464-0138 <br />Attn: Wayne Perry Inc./Gettler-Ryan <br />30 Main Ave #5 Sacramento CA 95838 <br />Care of: Tom Piskor <br />RE: Tank(s) Removal @ <br />2575 Country Club Blvd (Shell) <br />Unit Supervisors <br />Carl Borgman, R.E.H.S. <br />Mike Huggins, R.E.H.S., R.D.I. <br />Douglas W. Wilson, R.E.H.S. <br />Margaret Lagorio, R.E.H.S. <br />Robert McClellon, R.E.H.S. <br />Mark Barcellos, R.E.H.S. <br />The permit application to remove 3 underground storage tanks from the above referenced <br />facility has been approved with the following conditions: <br />1. All analytical results must come directly from a third party California certified <br />laboratory with affixed chain of custody or this office will not accept them. <br />2. All hazardous waste must be treated, stored or disposed of at a permitted facility. <br />3. See pages 7 & 8 of the permit application for required analytical tests. <br />4. A copy of the fire department permit must be submitted at the time of removal. <br />5. Schedule removal appointment 48 hours in advance. <br />6. In addition, the following information must be submitted within 30 days of the <br />removal date: <br />(a) Analytical results, mailed from the lab <br />(b) UST Tracking Record Sheet and Tank Hazardous Waste Manifest <br />(c) Tank Closure Certification Form (DTSC form 1249) <br />(d) Hazardous Waste Manifest for piping, rinsate, residual fuel, or waste oil receipt <br />7. This permit expires on October 6, 2004. <br />8. This site shall be sampled for unleaded fuel at the two fuel tanks and for waste/used <br />oil at the used oil tank. <br />9. The numbers of samples to be taken will be in accordance to the tank size as per page <br />7 of this permit. <br />10. Arrange the removal inspection at least 48 hours in advance. <br />If you have any questions please contact John Jackson at (209) 468-3440. <br />Thank you, <br />John Jackson REHS <br />Registered Environmental Health Specialist <br />
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