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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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. 4 <br /> .. .4a � ' ` POST ON PREMISE <br /> RONMENTAL HEAL <br /> PERM I T NO. <br /> ISSUED: EXPIRES: <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> r i l '� r .� ENVIRONMENTAL HEALTH DIVISION <br /> Permit ISSUed t0: 1601 E.HAZELTON AVE. • PHONE 468-3420 <br /> P.O. BOX 2009 STOCKTON,CA 95201 v ' <br /> 1 <br /> mu, #4 <br /> RID C <br /> 444 '' ¢� OPERATING PERMIT FOR UNDERGROUND <br /> LA <br /> STORAGE TANK FACILITYxr <br /> 104 <br /> TANK BOKr <br /> Vy <br /> 2191 NAVY ,DRIVE <br /> CA, 95206 m <br /> AV <br /> CKTON <br /> NUMBER OF TANKS <br /> t ' <br /> 'Cala city LOM Status <br /> 001 TANS, *,W ' ,x 1 �. �I� i��l W ~ �.i <br /> 33? 000 <br /> f' * <br /> €;aft . �AAji {� i Ik <br /> } yy=t* gy �{ ;� '?+.ql "i 000 <br /> i .i: i 01 <br /> M <br /> a <br /> =n <br /> R� <br /> r•. <br /> CONDITIONSa,. <br /> 1. This permit expires on December 31, of the current year. Inspection fee will be billed annually. <br /> 2. This permit is granted to the tank owner who accepts responsibility for operating and monitoring the tank <br /> system according to state underground storage tank laws and regulations and conditions set by the county. <br /> 3. Tank operators, if different than the owner, shall operate and monitor the tank system according to the <br /> written operating agreement required under Section 25293, Chapter 6.7, Division 20, California Health and <br /> Safety Code. <br /> 4. Tank owner shall notify the Environmental Health Division of any proposed change in operator or ownership <br /> of tank system. <br /> 5. Upon a significant change in design or operation of this facility, permit will be reviewed by the <br /> Environmental Health Division. <br /> 6. This permit cannot be considered as permission to violate existing laws, ordinances, regulations or statutes <br /> of other governmental agencies. <br /> Jogi Khanna, M.D., MPH 5ftalinoti, REHS, Director <br /> Health Officer NON-TRANSFERRABLE EIIIIIIIIIIIonmental Health Division <br /> THIS PERMIT MAY BE SUSPENDED OR REVOKED FOR CAUSE <br />
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