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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 JOAMVN COUNTY PUBLIC HEALTH VICES <br /> P O BOX 388 W STOCKTON, CA 95201-0388 • PHO 09) 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> OPERATING PERMIT FOUR UNDERGROUND STORAGE 'TANK: FACILITY <br /> Tank Taak Permit. Annual Permit Fee Valid <br /> P/E Number Record ID Number Capacity Contents Permit Status From To _ <br /> 2315 (*1 TAI'.Wl 004744 10,CV) Unleaded (ii Active Permit 01/01/96 12/31/96 <br /> 2315 002 TA190602 004745 6,000 Leaded 01 Active Permit 01/01/96 12/31/96 <br /> 2.315 003 TA190603 004746 5,:'100 Unleaded 01 Active Permit 01/01i96 12/31/96 <br /> 2315 005 TA190605 004748 550 01 Active Permit 01/01/96 12/31/96 <br /> PERMIT CONDITIONS: <br /> 1) The PERMIT TO OPERATE will beccifie void if AWLIAL PERMIT Fees and SERVICE Fees are not paid and/or the UST 5ystem(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TANK OWNER who accepts responsibility for operatirg acid monitoring the U T 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 imonitor 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 OWNER shall notify the Environmental Health Division of any Proposed change in operation or ownership of the UST <br /> system. <br /> 5) Llpon 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 not be considered permission to violate any existing laws, ordinances CO' statutes of other <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an VST FACILITY issued to: SHELL OIL COMPANY <br /> PO BOX 402:3 <br /> CONCORD, CA 94.S24 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be 'SUSPENDED ca REVOKED for, rause . <br /> + b; + r <br /> THIS FEW MIST 13E I3YSI' YED CMIC .Y ON T4-ll. FR'E."IiSE; <br /> REGIULATED FACILITY: SHELL SERVICE 'STATION* Account ID: 000:3:356 <br /> 420 W K:ETTLEMAN LN Facility ID: 003776 <br /> LODI , CA +S240 Permit Printed: 0.6/02/9 6- <br /> BILLING ADDRESS: <br /> SHELL OIL COMPANY INC <br /> ATTN: H'&E ADMIN SUPPORT/JOHN K.00:H <br /> 1:3?0 WILLOW PAS:; RD ST dills <br /> CONCORD . CA 94.520 <br /> 4 <br /> 1 <br />
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