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COMPLIANCE INFO_1986-2000
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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PR0231692
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COMPLIANCE INFO_1986-2000
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Last modified
12/28/2023 11:21:04 AM
Creation date
6/3/2020 9:51:13 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1986-2000
RECORD_ID
PR0231692
PE
2361
FACILITY_ID
FA0000212
FACILITY_NAME
Mossdale Chevron
STREET_NUMBER
444
Direction
W
STREET_NAME
MOSSDALE
STREET_TYPE
RD
City
LATHROP
Zip
95330
CURRENT_STATUS
01
SITE_LOCATION
444 W MOSSDALE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231692_444 W MOSSDALE_1986-2000.tif
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EHD - Public
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SAPNJOA4W co FIANLA! IHEELAILL3TTH CEES <br /> P 0 EWx 30 * SQmoxcxTPomN, CA 95201-OM 10 PMUNErk. ),46681-3342NO <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVMONWNTAL 1HIENALUTH <br /> QP0=112 PIE1011T FAMR L441ERGRLX40 STOWAGE TANK' FACILITY <br /> Tank Tank Permit Annual Per�iiit Fee Valid <br /> P/E Nutber Record 10 Number capacity (Intents Permit Status From To <br /> 2-—T-T <br /> ------ ----- <br /> Wh 00i TA169201 CICS54 10,003 Unleaded 02 f0onditional Permit 01!01196 12/2,166 <br /> 2MO 002 TA169202 Onus 0,000 Unleaded 02 Conditional Permit 01101i96 12/31/96 <br /> 2380, CY013 TA;169203 003t-S6 0,000 Diesel 02 (Conditional Permit OINU96 03i/96 <br /> PERMIT CONDITIONQ <br /> 13 The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SERVICE Fees, ape not paid and/or the UIST system(s) fails <br /> to remain in ccmpliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is 90ted to the TANK. OWNER who accepts responsibility for Operating and mOnitoring the UST system <br /> according to State underground storage tad laws and regudathns as well as any condition; establash_d by San jr----acruin C'oun-ty- <br /> 3) The TANK OPERATOR(S)� if different from the tank Owner, shall operate and imonitor the UST syste.-.,, acccipding to the WRITTEN <br /> OPERATING AGREEMENT required under Section 25293, Chapter 6.7, Divisir-r- 201 California Health and Safety Code. <br /> 4) The TANK OWNER shall notify the EmAronmedal Health Evivision Of anny proposed change in operation or ownership Of the UST <br /> system. <br /> 1D Upon any change in design Or Operation Of this facilh-i; the PERMIT TO OPERATE will be reviewed by- the <br /> Enov,ironim,ental Health Division. <br /> 6) A construction Or removal Permit is require frot-ti the Environmental Healthprio�r to any removal or <br /> Orange of UST system --7�uipment. <br /> 7) This PERMIT TO OPERATE shall not be considered permission to YiOlate any existim ;aw®, Ordinances Or statu--tes Of the <br /> federal, state or local agencies. <br /> '1� A 9-:1-inditioni-it! i-iay be Tevo;-,ed if c op-rec t ions are Ymt completed by the date(s) specified on inwection. <br /> PERMIT T®[ OPERATE an UST FACILITY issued to! PIE,. E30KIDES-:- <br /> 2191 NAVY DR <br /> STOZ:eve TON, CA 95206 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> °TF ISS FkW,", NNS"T Ed! 1131%04YEI) C00P1C1XNJSLNY 83N THE PIRSHISES <br /> REGULATED FACILI --.AL- TF--,X-ACO Account 1D! 0000211 <br /> 444 W MOSSDALE Facility IT 0002112 <br /> I-ATHROP, CA ...533;-D� Permit Printed, 05-/02/'---46 <br /> BILLING ADDRESSi <br /> CAL TEXACO <br /> ATTN : 1Q8AL. CHOHAPN <br /> 444 W MOSSDALE <br /> LATHROP, CA 9S330 <br />
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