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REMOVAL_2004
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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PR0231883
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REMOVAL_2004
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Last modified
9/25/2019 9:18:52 AM
Creation date
11/5/2018 11:59:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
REMOVAL
FileName_PostFix
2004
RECORD_ID
PR0231883
PE
2351
FACILITY_ID
FA0002111
FACILITY_NAME
BEN HOLT SHELL
STREET_NUMBER
3011
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95219
APN
10018010
CURRENT_STATUS
02
SITE_LOCATION
3011 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\B\BENJAMIN HOLT\3011\PR0231883\REMOVAL 2004.pdf
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EHD - Public
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ENVIRONMENTAL HEALTH DEPARTMENT <br /> /1 _ <br /> on'? SAN JOAQUIN COUNT <br /> ��-,a� Unit Supervisors <br /> Donna K.Heran,R.E.H.S. 304 East Weber Avenue, Third Floor Carl Borgman,R.E.H.S. <br /> �. X Director Mike Huggins,R.E.H.S.,R.D.I. <br /> Al Olsen,R.E.H.S. Stockton, California 95202-2708 Douglas W.Wilson,R.E.H.S. <br /> .. �a Program Manager Telephone: (209) 468-3420 Margaret Lagorio,R.E.H.S. <br /> 44lFo- i* <br /> Laurie A.Cotulla,R.E.H.S. Fax: (209) 464-0138 Robert McClellon,R.E.H.S. <br /> Program Manager Mark Barcellos,R.E.H.S. <br /> July 22,2004 <br /> Gettler-Ryan <br /> 3140 Gold Camp Dr. Ste 170 <br /> Rancho Cordova CA 95670 <br /> Re: Shell Oil Products @ 3011 Benjamin Holt Drive, Stockton <br /> The permit application to remove an underground storage tank from the above referenced <br /> facility has been approved with the following conditions: <br /> 12. See pages 7 & 8 of the permit application for required analytical tests. <br /> 3. A copy of the fire department permit must be submitted at the time of removal. <br /> 4. Schedule removal appointment 48 hours in advance. <br /> 5. In addition, the following information must be submitted within 30 days of the removal <br /> date: <br /> (a) Analytical results, mailed from the lab <br /> (b) UST Tracking Record Sheet and Tank Hazardous Waste Manifest <br /> (c) Tank Closure Certification Form <br /> (d) Hazardous Waste Manifest for piping, rinsate, residual fuel, or waste oil receipt if <br /> applicable <br /> (e) Submit the backfill excavation certificate as required by San Joaquin County <br /> EHD. <br /> 6. This permit expires on November 22, 2004. <br /> If you have any questions please contact Michelle Le at(209)468-9847, <br /> Thank you, <br /> Michelle Le, R.E.H.S. <br /> Senior Registered Environmental Health Specialist <br />
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