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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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PR0231358
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BILLING_PRE 2019
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Entry Properties
Last modified
4/5/2022 2:01:43 PM
Creation date
11/5/2018 5:54:04 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231358
PE
2381
FACILITY_ID
FA0003590
FACILITY_NAME
M B P
STREET_NUMBER
501
Direction
W
STREET_NAME
LODI
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
03731045
CURRENT_STATUS
02
SITE_LOCATION
501 W LODI AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\L\LODI\501\PR0231358\BILLING .PDF
QuestysFileName
BILLING
QuestysRecordDate
2/27/2017 10:27:28 PM
QuestysRecordID
3345159
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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SAN OAQUIN COUNTY PUBLIC HEAIM SERVICES <br /> P O Box 398 • S ocKTON, CA 95201-0388 • MNE (209) 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 /> O EihANTAlMGG PEMIT TX-QP,,. FACIA Iii"` <br /> Tank Tank Permit Annual Permit Fee Valid <br /> P/E Number Record ID Number Capacity Contents Permit Status —From To <br /> [350 001 TA135801 00659 iO,Cr O lhtieaded 02 Conditional PerSit 01101/97 12/31/97 <br /> 238+1 002 TA13%K (x}:3661 10,000 Unleaded 02 Conditional Permit 01/010! 12/31/97 <br /> 2K0 003 TA135803 003662 10,000 Unleaded 02 Conditional Permit 01/61/97 12131197 <br /> PERMIT CONDITIONS: <br /> 1) The PERMIT TO OPERATE will become void if AP#rYAL PERMIT Fees and SERVICE Fees are not paid and/or the t4T system(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 operating and monitoring the ti 'T system <br /> according to State underground storage tank laws and regulations as '-sell 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 25253Chapter 6.7, Division 20, California Health! and Safety Code. <br /> u) The TANK OWNER shall notify the Environmental Health Division of any proposed change in operation or ownership of the LIST <br /> system. <br /> 5i Lipon 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 ^r <br /> change of USF system equipment. <br /> 7) This PERMIT TO OPERATE shall not be considered permission to 'violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> 81 A "Conditional Permit" may be revoked if corrections are not completed by t.h!e date(s) specified on inspection. <br /> PERMIT TO OPERATE an UST FACILITY issued to: M B P <br /> 2191 NAVY DR <br /> STOCKTON, CA 9506 <br /> PERMITS —10 OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABL-E <br /> -nrd may be '3iISPENDED or REV'-'R;ED for =mase . <br /> IMPS ITUIJP111 ACET LRE NPJ.a1frtl._It1i T.EL1 g:A�'3.�-�,�L� .�/� LIN THE T4SE"ISES <br /> REGULATED FACILITY; '" . : r' Account ID, 003168 <br /> ! �;1 LCIDI AVE Facility ID, 003590 <br /> LORI , CA + ,:_".e' Permit Printed! 03/:5/97 <br /> BILLING ADDRESS: 80K:IDES, MEL <br /> ATTN , OI_YMPIA,N/M B P <br /> 265 E CANTERBURY <br /> 'ST'�C K Ti IN, CA 95C'07 <br />
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