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BILLING 1985-2000
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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PR0231906
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BILLING 1985-2000
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Entry Properties
Last modified
12/15/2023 4:20:11 PM
Creation date
11/5/2018 3:43:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
1985-2000
RECORD_ID
PR0231906
PE
2361
FACILITY_ID
FA0003776
FACILITY_NAME
KWIK SERV*
STREET_NUMBER
420
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06202042
CURRENT_STATUS
01
SITE_LOCATION
420 W KETTLEMAN LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\K\KETTLEMAN\420\PR0231906\BILLING 1985-2000.PDF
QuestysFileName
BILLING 1985-2000
QuestysRecordDate
5/22/2017 9:57:53 PM
QuestysRecordID
3393275
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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SAN JC#UIN COUNTY PUBLIC HEALTH VICES <br /> 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA.95202 HONE (209)468-3420 <br /> KAREN FORST,M.D., M.P.H., HEALTH OFFICER <br /> DONNA RERAN,R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> itylE RAt T I lr''ERMIT FOR 'STORAGE Tom: FACILITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> P/E Humber Record ID Number Capacity Contents Permit Status From To <br /> 2315 001 TA190601 004744 10,000 Unleaded 01 Active Permit 01/01/98 12/31/98 <br /> 2315 002 TA190602 004745 8,000 Leaded 01 Active Permit 01101/98 12/31/98 <br /> 2315 003 TA190603 004746 5,000 Unleaded 01 Active Permit 01/011% 12/31/98 <br /> 2315 005 TA190605 004748 550 01 Active Permit 01/01/98 12/31/98 <br /> 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 <br /> to remain in compliance with the PERMIT CUMUD7NS. <br /> 2) The PERMIT TO OPERATE is granted to the TANK. MER who accepts responsibility for operating and monitoring the UST system <br /> according to State underground storage tank laws and regulations as well as any conditions established by San Joaquin County. <br /> 3) The TANK OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING AGREEMENT required under Section 25293, Chapter 6.7, Division 20, California Health and Safety Code. <br /> 4) The TANK 0INER shall notify the Environmental Health Division of any proposed change in operation or ownership of the UST <br /> system. <br /> 5) Upon any change in equipment, design or operation of this facility, the PERMIT TO OPERATE will be reviewed by the <br /> Environmental Health Division. <br /> 6) A construction or- removal permit is required from the Environmental Health Division prior to any removal or <br /> change of UST system equipment. <br /> 7) This PERMIT TO OPERATE shall riot be considered permission to violatx any existing laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an UST FACILITY issued to: ~,HELL OIL COMPANY <br /> PO SOX 402:3 <br /> CONCORD, CA `_'-14524 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause . <br /> THIS FIRM IMUST EE DISSLAYM CONSORIaJOSSLY ON THE PROMISES <br /> REGULATED FACILITY: 'SHELL SERVICE 'STATION* Account IN 0003356 <br /> 420 W KETTLEMAN LN Facility ID: 003776 <br /> LODI , CA 95240 Permit Printed: 03/02/98 <br /> BILLING ADDRESS: SHELL OiL CO INC: <br /> ATTN: HSPAE ADMIN SUP/AURA MATTIS <br /> PCI BOX 8080 <br /> MARTINEZ, CA 9455:3 <br />
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