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BILLING_PRE 2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0508337
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BILLING_PRE 2019
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Entry Properties
Last modified
7/6/2020 4:38:25 PM
Creation date
11/4/2018 3:00:35 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0508337
PE
2361
FACILITY_ID
FA0008040
FACILITY_NAME
SAN JOAQUIN AIR
STREET_NUMBER
12145
Direction
N
STREET_NAME
DE VRIES
STREET_TYPE
RD
City
LODI
Zip
952429541
APN
05518005
CURRENT_STATUS
02
SITE_LOCATION
12145 N DE VRIES RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\D\DE VRIES\12145\PR0508337\BILLING.PDF
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EHD - Public
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{S, <br />SAN JOAQUIN COUNTY ENVIRONMENTAL KITH DEPARTMENT <br />304 E. Weber Ave., Third Floor • Stockton, CA 95202.2708 • Phone (209) 469-3420 <br />Donna Heran, R-E.H-S., DirerLor <br />ENVIRONMENTAL HEALTH <br />SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br />PERMIT TO OPERATE <br />Pemtit <br />Program Permit Valid <br />Record ID Number Cade and Description <br />RAGE TANK FACILITY <br />11112002 To 1213112002 <br />PRO50833 2300 - UNDERGROUND STO <br />Underground Storage Tank Pro ram: <br />Califomia Health and_Safety Gode Qiv. 20, Chap: 6.7 and Titfe 23 Gaiiforrlia Code of RegulatiPermit Status System Type Leak Detection <br />2362 1 390005083370508338 PT0009663 10,000 Monitoring <br />Underground Storage Tank 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 system(s) fails to remain in compliance with these Permit Conditions. <br />2) In order to maintain the operating perrrut, 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 18, as well as any <br />conditions established by San Joaquin County. <br />3) If the Tank Operator(s) is different from the Tank Owner, 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 <br />both the Tank Owner and tank Operator receive a copy of the permit. <br />4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Depamnent (EHD) and are considererd USF Permit Conditions. The <br />approved monitoring, response, and plot plans shall be maintained onsite with the permiL <br />5) The Permittee shall comply with the monitoring procedures referenced in this permit <br />6) The Permittee shaft perform testing and preventive maintenance on all leak detection monitoring equipment annually, or more frequently if specified by the equipment manufacturer, <br />and provide documentation of such servicing to this office. <br />7) In the event of a spili, leak, or other unauthorized release, the Permitec shall comply with the requirements of Title 23 CCR, Chap. 16, Art. 5, and the approved Emergency Response <br />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 date the monitoring <br />was performed. <br />9) The EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change. <br />10) Upon any change in equipment, design or operation of the UST system (including change in tank contents or usage), the Permit to Operate will be subject to review, modification or <br />revocation. <br />l 1) Construction, repair and/or removal permits are required from 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 date of the issuance of this permit. <br />13) This Permit to Operate shall not be considered permission to violate any laws, ordinances or statutes of any other Federal, State or Local agency. <br />14) A "Conditional' Permit may be revoked if corrections specified on the inspection report are 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: KINGDON PROPERTIES <br />DBA: KINGDON AIR STRIP <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Facility ID <br />Regulated Facility. SJ AIR <br />Account ID <br />12145 N DE VRIES RD <br />]slued <br />LODI. CA 95242-9541 <br />Billing Address: ATTN : SJ AIR <br />SJ AIR <br />PO BOX 227 <br />LODI, CA 95241-0227 <br />7023.rpt <br />FA0008040 <br />AR0015108 <br />3/2912002 <br />
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