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Environmental Health - Public
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EHD Program Facility Records by Street Name
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FRENCH CAMP
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5777
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2200 - Hazardous Waste Program
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PR0518770
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BILLING
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Last modified
1/27/2021 10:15:39 PM
Creation date
10/31/2018 4:24:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2200 - Hazardous Waste Program
File Section
BILLING
RECORD_ID
PR0518770
PE
2220
FACILITY_ID
FA0006977
FACILITY_NAME
76 EXPRESS TIGER NO 1
STREET_NUMBER
5777
Direction
S
STREET_NAME
FRENCH CAMP
STREET_TYPE
RD
City
STOCKTON
Zip
95206
APN
19302037
CURRENT_STATUS
01
SITE_LOCATION
5777 S FRENCH CAMP RD
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
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FilePath
\MIGRATIONS\F\FRENCH CAMP\5777\PR0518770\BILLING.PDF
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EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.Webcr Avc.,Third Floor• Stockton,CA 95202-2708• Phone(209) 468-3420 <br /> Donna Hcran, RE-H.S., Dirccror <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Permit <br /> Program permitValid <br /> Record ID Number Program Code and Description <br /> PR0518770 PT0012203 2220-SMALL QUANTITY HAZARDOUS WASTE GENERATOR FACILITY 11112003 To 1213112003 <br /> Hazardous Waste Qeneralor Program' <br /> Califomia Health and_ Safety Code,Div_20,Chap.65,Art_2-13,Sec_25100 et-s--e-q,and Title 22._Califomla Code of Regulations,Chap. <br /> ---- - -- ----- <br /> 111/2003 To 1213112003 <br /> PRO505746 2300-UNDERGROUND STORAGE TANK FACILITY <br /> Underaround Storage Tank Program: <br /> ------------ <br /> California Health and Safety Code,Div.20,Chap.6.7 and Title 23,Califomla Code pf Regulations,Chap,16. .--_---_--_.____.-____._._.._-----Collie <br /> PermitSutus System Type Leak Detection <br /> P/E Ta k J! Tank Reenact ID PQm t n2Capacity REGULAR UNLEADED AChve billable DLAWLE WALLED c ti t t ut t M ry <br /> 2360 2 390005057460505748 PT0008277 12,000 AR UNLEADED Active,billable DOUBLE WALLED Continuous Interstitial Moodt <br /> REGULAR 2360 3 390005057460505749 PT0008276 8.000 ARUNLActive,billable oOUBLE WALLED Conunuwstntersuttat Monttdmq <br /> 2362 1 390005057460505747 PT0008275 20,000 DIESEL <br /> Underground Storage Tank Permit Conditions <br /> tems)fails to remain in compliance with Neu Permit Conditions. <br /> 1) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the UST sys <br /> 2) In order m maintain ox operating pemut the owner and operator shall comply with the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR,Title 23,Chap.16 and I g,a well ss any conditions <br /> established by San Joaquin County. <br /> 3) If the Tank Operator(s)is different from the Tank ,or if the Permit to Operate is issued to a person other than the owner or operator of the tank,the Permittee shall ensure that both <br /> the Tank Owner and lank Operator receive a copy of the permit. <br /> 4) Written Monitoring Procedures and an Emergency Response Plan most be approved by the Environmental Health Department(END)and are considood UST Permit Conditions. The pp ed <br /> monitoring.response.and plot plans shall be n tintained onsite with the permit <br /> 5) The Pc mittee shall comply with the monitoring procedures refcomeed in this permit. <br /> 6) The Permittee shall perfomr testing and preventive maintenance on all leak detection monitoring equipment annually.or more fiequently if specified by the egopment manufacturer,and <br /> provide documentation of such servicing to this office. <br /> 7) In the event of a spill,leak,or other unauthorized release,the Pcmmitec shall comply with the requirements of Title 23 CCR,Chap.16,Art.5,and the approved Emergeocy Response Plan. <br /> 8) Written records of all monitoring performed shall be maintained on-site by the operator and be available for inspection for a period of at least three years from the dale the monitoring was <br /> performed. <br /> 9) The EHD shall be notified of any change in ownership of operation of the UST system within 10 days of such change. <br /> 10) Upon any change in equipment,design or operation of the UST system(including change in tank contents qr usage),the Permit to Operate will be subject to review,modification or <br /> 11) LSYRIbn,repair and/or removal perrrdts are required rim the EHD prior to any change,repair or removal of UST system equipment <br /> 12) The Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the anniversary dale or the issuance of this pemlil. <br /> 13) This Permit to Operate shall not be considered permission to violate any laws.ordinances or statutes of any other Federal,Stale or Local agency. <br /> 14) A"ConditionaP Permit maybe revoked ifcorections specified on the inspection report arc not completed by the date(s) indicated. <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: CALIFORNIA FUEL STOPS INC <br /> Tank Owner: FUEL STOPS LAND & DEVEL LLC <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility ID FA0006977 <br /> Regulated Facility. TIGER EXPRESS#1' Account ID AR0009954 <br /> 5777 S FRENCH CAMP RD Issued 51112003 <br /> FRENCH CAMP, CA 95231 <br /> Billing Address: ATTN : DAVID ATWATER <br /> TIGER EXPRESS #1* <br /> PO BOX 1207 <br /> STOCKTON, CA 95201 <br /> 7021rµ <br />
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