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COMPLIANCE INFO_2012-2018
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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PR0231070
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COMPLIANCE INFO_2012-2018
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Last modified
2/22/2023 4:20:12 PM
Creation date
6/3/2020 9:43:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2012-2018
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
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2351_PR0231070_2575 COUNTRY CLUB_2012-2018.tif
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EHD - Public
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P. 1 <br />Communication Result Report ( Feb, 5. 2014 5:OOPM) <br />1) San Joaquin County <br />2) Environmental Health Department <br />Date/Time: Feb, 5. 2014 4:49PM <br />File Page <br />No. Mode Destination Pg (s) Result Not Sent <br />---------------------------------------------------------------------------------------------------- <br />0948 Memory TX 919254628352 P, 13 OK <br />---------------------------------------------------------------------------------------------------- <br />Reason <br />for <br />error <br />E. <br />1) <br />Hang up or <br />line fail <br />E.2) Busy <br />E.3) <br />No answer <br />E.4) No facsimile <br />connection <br />E. <br />5) <br />Exceeded max . E —mail <br />s i z e <br />San Joaquin Comity <br />Environmental Health Department <br />n®ealwoi. R,.HRMS <br />1868 East Hazofton Avenue <br />Stockton, California 95205-1132 <br />RD.Idsa`fcmmwCr0.a"oHrdsuea"H./S <br />6S <br />R.R°ED1�I <br />RO <br />web5me: ai ,rmvofplew <br />Kasq Fdy. RENS <br />ufdeYvka Rl xS <br />Phoma: (266) 468-J420 <br />R.&i E kft R s <br />Fax: (206) 464.611 <br />Add— . REHs <br />Febnmry 5, 2014 <br />Kathleen Henshaw <br />central Petroleum <br />176 Wyoming Street <br />Pleasanton, CA 94568 <br />Re: Country Club Gas Station, 2575 Country Club Blvd, Sloddon SRDWAM4 <br />The San Joaquin County Environmental Health Department (EHD) has tompletad the review of <br />the application for a pennit to replace the 87 tank so container and true d ipersor% annum <br />sensor on the underground storage tank (UST) system at the above noted address. The permit <br />has been approved with the following condiions: <br />1_ Contact the local fire department and the San Joaquin Valley Aa Pollution Control <br />Districtfor any applicable pemits and requirements. <br />2. Any changes in information and scope of work must be submitted to EHD for approval <br />prior to commencing work- A6 new addervfa supelsade ttfi previous ones. <br />3. Contact Stacy Rivera at (209) 468.3440 to arrange the following inspection <br />appointments (a 48-hour notice is required for inspection appointments). Plsase be <br />aware that inspections for emergency work most be scheduled wftiin five days of permit <br />appreval. <br />a. Sensor functionality: Functionality of the monitoring system must be verified to <br />ensure that monitoring has been restored to meet the requirements of Title 23 <br />California Code of Regulations and the Health & Safety Code. <br />b. Spill bucket test Verify m3ntimml 5 -gallon capacity, and pass a one hour hydrosfsfic <br />test (err equivalent). Proper drainage must also be verified. <br />4, qualified service tecmicians must possess orvwrk under the direct and personal <br />supervision of an Individual physlcefy present at the work site who possesses all of the <br />folming: <br />a One of several permissible valid, current oontrar 's licenses issued by the <br />Contradors State License Board (may be issued to the installation company), or a <br />Tank Tester's ficense issued to the individual by the State Water Board, and <br />b, A valid, cumant California l)cuT Service Technician certificate issued by the <br />International Code Council (ICC), and <br />
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