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COMPLIANCE INFO_1999-2010
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0232224
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COMPLIANCE INFO_1999-2010
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Last modified
4/7/2021 10:42:38 AM
Creation date
6/3/2020 9:56:35 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1999-2010
RECORD_ID
PR0232224
PE
2361
FACILITY_ID
FA0001877
FACILITY_NAME
AM PM HAMMER/I5 FOOD #83113
STREET_NUMBER
3250
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95209
APN
08240009
CURRENT_STATUS
01
SITE_LOCATION
3250 W HAMMER LN
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0232224_3250 W HAMMER_1999-2010.tif
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EHD - Public
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Y. <br />APPLICiTION _GR UA7ERGROUA'3 -:.VK R'TROFIT. OR PIP•NG REPAIR PERMIT <br />�:ZIS 7ERM :=X?:QFS 90 DAYS F2CH TF a7PROV:, D1TE. DO vOT :[.i1:E Zv .12.= SHADS .1Rru. ZvJ:Ca� PERP.IT ;Z'Pf 9_!.O•l: <br />_TAvK R-'=_- PIPING REPAIR <br />EPA SIT'- Z iJ 7ROJECT CONTACT i TE E?ScNZ C _ /"''),' <br />c = RCI LI : I NA• - , T PRONF i O C f -- <br />I <br />Z. } CROSS SIXES ' S <br />t <br />S <br />T ( OWVER/OPSRA-OR _ } PHONE 3 <br />CONrRACTO."2 `v ?BONE 3 <br />r ( CowrRACTOR :+DDR '� Cl LIC 2 ( CLASS, ` <br />T <br />g } rNSURFR 1 WORS_COMP _2 } <br />a _ <br />C } UrHER INFO."2. A'I'_ON <br />T <br />-a ( } PHONE I <br />R <br />j } PHONE 2 I <br />�ll[il it <br />Tavltltiir lift `.[1l�tlf lli� _ <br />iD S � Testi; SIZE CIZEYiICaa.c STORED CURRENTLY/P_REVIOUSL7 DATE US' INSTALLED <br />rn � <br />a 1 19- ! } } } <br />N ! 39- I } ( } <br />--jllllifilflillillllllltiililliliiliiiiiiillliliifllii Ililitiitiltil[lfil IIfi{iiiiliiilEllitii11ii11ltilllititilllii� <br />1 APP. zD APPROVED vrTH CMaDr-ON( ) DISAPPROVEvv <br />} <br />1 _ AC:�Ti HZIH CONDi:'IOIZS) '� ! <br />�I t ?LAN REVIT-JEERS NAME •J - DAZE <br />--illtiilifilitiifillltil Ii1II i i[Iiitiitliti ilUiiitiiiIlil <br />a2P1-ZCANZ' M1ST 2ERFORM ALL YORK IN ACCCRDA4CT �a:I( SAN JGWMN �_OXrY O7.DDZANCSS. STATE LAYS. AIM 2ULFS AND i£ -k-TIONS OZ 1 <br />Sav JOAQUIN C71INrr 2USLIC HFaL`3 SZZ2VIC--S. G:.1=X OR LICENSED AGM*S SZGXAT.7RE C-FtrZFTFS THE FOL:.OYING: -1 CS :FC THAT ::a j <br />PE.QFORRfHt-C= OF 7`IE :+ORK FO? ::HIGH TfiZS 2 �iIT i5 ZSSOED, I SrWL NG'i E ?PLOY ANY PERSON ZN STiCF A .`4AYNFR AS TO BECOKE_ } <br />SJ3J£Cr TO YORKE-�'S COMPENSATION LAYS OF G.AL:: --RX1A._- CONTRACTOR'S HZ2:vG OR SUBCONIRACTIlaG SIGva:ZIRE CE2TIFZE� TRE POLLo-uxc- <br />-• C`Z"r ZFY TS:,T ZV THE Pf3ZMR1ti'-VCE OF THE YGR_Z FOR WHICH THIS PERMIT IS ;SSUED. I SHALL EMPLOY PERSONS S WECT ---D LORKER'S 1 <br />CJtIPFNSATSON :AHS OF CAL: r'O� Wj nn 1 <br />V <br />?PLICANr'S SIGyATUR£: � TI'CC "W/(.l i/l D3 '/ <br />B TLLING INFORMATION _ <br />I�rzdicate the responsible party to be billed for additional PHS -EBD staff time expended beyond <br />-p>e.-mit payment coverage per tan1c_ If the party designated below is different than the perm it <br />applicant, e_g_ property owner, zne party must acknowledge this responsibility for the biding <br />v signatu=e and date below_ <br />addressa5 /! nue number pZJ %��CQ/ <br />S=gnature <br />!�:H 23-0038 <br />�CS� <br />
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