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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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PR0501853
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BILLING_PRE 2019
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Entry Properties
Last modified
4/19/2021 11:50:10 AM
Creation date
11/5/2018 12:49:12 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0501853
PE
2381
FACILITY_ID
FA0005245
STREET_NUMBER
10500
Direction
S
STREET_NAME
HARLAN
STREET_TYPE
Rd
City
French Camp
Zip
95231
APN
193-270-03
CURRENT_STATUS
02
SITE_LOCATION
10500 S Harlan Rd
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HARLAN\10500\PR0501853\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
5/9/2013 8:00:00 AM
QuestysRecordID
158761
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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v 1.104 STATE I0 NUMBER 00000002250001 <br /> APPLICATION FOR PERMIT TO OPERATE UNDERGROUND STORAGE TANK <br /> l ) 01 NEW PERMIT f ) 05 RENEWED PERMIT ( ) 07 TANK CLOSED ( ) 09 DELETE FROM FILE (NO FEE) <br /> ( ) 02 CONDITIONAL PERMIT ( 1 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br /> I OWNER <br /> NAME(COPPOPATION,INOIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br /> GRANITE CONSTRUCTION COMPANY ( ) 01 FED ( ) 02 STATE [ 1 03 LOCAL <br /> STREET ADDRESS CITY STATE ZIP <br /> P.O. BOX 900 WATSONVILLE CA 95072 <br /> II FACILITY <br /> FACILITY NAME DEALER/FOREMAN/SUPERVISOR <br /> FRENCH CAMP PLANT RON FIOELOY <br /> STREET ADDRESS NEAREST CROSS STREET <br /> 10500 S. HARLAN RD ROTH RD <br /> CITY COUNTY ZIP <br /> FRENCH CAMP SAN JOAQUIN 95231 <br /> MAILING ADDRESS CITYSTATE ZIP <br /> P.O. BOX 151 STOCKTON CA 95201 <br /> PHONE W/AP.EA CODE TYPE OF BUSINESS <br /> 209-952-6321 ( 1 01 GASOLINE STATION (X) 02 OTHER CONTRACTOR <br /> NUMBER OF CONTAINERS RURAL AREAS ONLY TOWNSHIP RANGE SECTION <br /> 12 <br /> III 24 HOUR EMERGENCY CONTACT PERSON <br /> DAYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br /> FIDE LOY, RON 209-464-9685 FIDELDY. PON 209-464-9685 <br /> COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br /> IV DESCRIPTION <br /> A. (X) 01 TANK ( 1 04 OTHER: .CONTAINER NUMBER 41 <br /> B. MANUFACTURER (IF APPROPRIATE): PERKINS YEAR MFG: 1972 C. YEAR INSTALLED 1972 ( 1 UNKNOWN <br /> D. CONTAINER CAPACITY: 1000 GALLONS ( ) UNKNOWN E. DOES THE CONTAINER STORE: IX) 01 WASTE [ ) 02 PRODUCT <br /> F. DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X) 01 YES ( ) 02 NO IF YES CHECK APPROPRIATE BOX(ES): <br /> f 1 01 UNLEADED ( ) 02 REGULAR ( 1 03 PREMIUM [ ) 04 DIESEL (X) 05 WASTE OIL ( ) 06 OTHER <br /> V CONTAINER CONSTRUCTION <br /> A. THICKNESS OF PRIMARY CONTAINMENT: 10 (X) GAUGE ( 1 INCHES f ) CM ( ) UNKNOWN <br /> B. ( ) 01 VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON-VAULTED ( ) 03 UNKNOWN <br /> C. ( ) 01 DOUBLE WALLED ( ) 02 SINGLE WALLED (X) 03 LINED <br /> D. ( ) 01 CARBON STEEL ( ) 02 STAINLESS STEEL f ) 03 FIBERGLASS ( ) 04 POLYVINYL CHLORIDE ( ) 05 CONCRETE <br /> ( ) 06 ALUMINUM (X1 07 STEEL CLAD ( ) 08 BRONZE f 1 09 COMPOSITE f 1 10 NON-METALLIC <br /> ( ) 12 UNKNOWN ( ) 13 OTHER: <br /> HSC04-070185 (10/18/85) PAGE 1 <br />
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