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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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VICES <br /> SAN jOA&WCOUNTY PUBLIC HEALTH * a65-3a2o <br /> p O Box 388 STOC%ToN, CA 95201-0358 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA HERRN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> "j-T FL _4pbe.* FACILITY <br /> wD <br /> Annual Permit Fee Vali! <br /> Tank: Tank Permit a c Frem To <br /> P1E Numter Record ID Number Capacity Contents <br /> Permit Status 01l01!97 12131!97 <br /> 2315 (N3i ?A14s760i OU4744 IO,OVU Unleaded OI Aetive Permit 01/01/97 12!31!97 <br /> 2315 OO2 ?A19U6O2 004745 8,ODU Leaded O1 Active Permit 41!01197 12/31/97 <br /> I 03 TA19O6O3 004id6 S,OOO Unleaded 01 Active Permit <br /> f3.5 � U1 Active Periuit OilOi/97 12131137 <br /> 2315 OO5 TA190605 004748 50 <br /> PERMIT CONDITIONS: <br /> ii The PERMIT TO OPERATE will become void if ANNUAL PERMN Fees and SERVICE Fees are not paid and/ar the UST system(s) fails <br /> to remain in compliance with the PER"IT CONDITIONS. <br /> 2) The PERMIL TO OPERATE is srantec to the TAW.. DINER 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 6Y San 3oaonn Count.+. <br /> 3? The TAIW.. OPERATOR(S)required under Section 25243, Chapter 20 <br /> , if different from the tank, owner. shall operate and monitor the UST system according to the WRI?TEN <br /> OPERA?ING AGREEMENT 6.7. Division , California Health and Safety Code. <br /> 4> The TANK OffR shall notify the Environmental Health Division of any Pressed chance in operation or ownership of the trT <br /> system. <br /> Si Upon any change in equipment, design or operation of this facility, the PERIL ?D OPERATE will be reviewed h. the <br /> Environmental'Health Division,. <br /> 6? A construction. or removal permit 15 required from the Environ mental Health DiVlsl�n Prior to any removal or <br /> change of UST System equipment. <br /> 7" This PERMIT TO OPERATE shall not. be considered permission to violate any existing laws, ordinances or statutes of otter <br /> federal, state or local agencies. <br /> ki d <br /> FERNIT TO OPERATE an UST FACILITY issued to; SHELL OIL COMPANY <br /> Psj BOX 4.02: <br /> CONC'C+RD, CA SAS24 <br /> PERMITS TO OPERATE anti ANNUAL PERMIT FErE. PAYMENT':; are NOT TR?h!=:FERASLE <br /> ao icl rila'Y be SUSPENDED or REVOKED for• cause . <br /> IIEF <br /> THIS F09.011 !HAST DI ._E#'IM I'l IL t'' ( '� Pi�E�i!E <br /> ter<.':'1?_E'. 111 f A T i i:;" �_' A,count IN OOU3356 <br /> REESMATED FACILITY; FfEf._I... Facii tY ID. 0037,5 <br /> 420 W K:ETTLEVIAN 1..N permit Printed. 03128/97 <br /> HUNG ADDRESS' SHELL OIL CO O INC <br /> ATTN: HS&E ADMIN SUPPORT/JOHN KOCH <br /> 1390 WILLOW PASS RD ST _tC"a <br /> CONCORD , CA 94-524 <br />
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