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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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IRONMENTAL HEAL POST ON PREMISE <br /> ISSUED: EXPIRES: <br /> PERMIT N0. kkfJ1 �' i <br /> i 13 1 4159 .`? SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES i <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Permit Issued to: - 1601 E. HAZELTON AVE. • PHONE 468-3420 <br /> P.O. BOX 2009 • STOCKTON, CA 95201 . <br /> 66Fie 4 d <br /> 444, MOSSO)ALE RD. <br /> LA`I!-RCIP C:A 9S '3f;t OPERATING PERMIT FOR UNDERGROUND <br /> If .., ► 80 :- STORAGE TANK FACILITY <br /> MEL, Hgk I DE' = 'F EI RCILE�)i 1 NC ME BL I� I(A r E IR�.ILELIM INC,,,,, <br /> TANK OWNER f, }r, i r; ,.- <br /> 21:31 NAV i GRI I VE �i a 1 N H�I'T DR I JsN, <br /> CA '96206 <br /> NUMBER OF TANKS ` <br /> I ank De cr rition Produc t. C.apa c i t LOM 'a t.atus <br /> 001 TANKSMot-or 'd0iic 1e: Fuel 10,000 t100 S <br /> 63{Y02 TANK=: 'Motor V c-ha'c le Fuel 6:,.000 S t.)d <br /> 00 03 TANKS Mo to r, V eh c i e Fuet r0.,000 S tl 1 <br /> CONDITIONS <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 Ro oti, REHS, Director <br /> Health Officer • NON-TRANSFERRABLE En ental Health Division <br /> THIS PERMIT MAY BE SUSPENDED OR REVOKED FOR CAUSE <br />
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