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BILLING 2005 - 2007
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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PR0523684
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BILLING 2005 - 2007
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Entry Properties
Last modified
11/7/2023 2:01:52 PM
Creation date
11/6/2018 12:46:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
2005 - 2007
RECORD_ID
PR0523684
PE
2351
FACILITY_ID
FA0015977
FACILITY_NAME
Fast Lane Central Valley
STREET_NUMBER
116
STREET_NAME
ROTH
STREET_TYPE
Rd
City
Lathrop
Zip
95330
APN
196-02-020
CURRENT_STATUS
01
SITE_LOCATION
116 Roth Rd
P_LOCATION
07
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\R\ROTH\116\PR0523684\BILLING 2005 - 2007.PDF
QuestysFileName
BILLING 2005 - 2007
QuestysRecordDate
4/24/2018 10:12:57 PM
QuestysRecordID
3865714
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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c _ <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E. Main St. • Stockton,CA 95202-3029 • Phone (209)468-3420 <br /> Donna Heran,R.E.H.S., Director <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Program Permit Permit <br /> Record ID Number Program Code and Description Valid <br /> PR0523684 2300-UNDERGROUND STORAGE TANK FACILITY 3/8/2007 To 12/31/2007 <br /> Underground Storage Tank Program: <br /> California Health and Safety Code,Div_20,Chap. and Title 23,California Code of Regulations,Chap_ 16_ _____________________________________________________ <br /> P/E Tank Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detecfion <br /> 2352 1 390005236840515761 PT0016114 12,000 PREMIUM UNLEADED Active,billable DOUBLE WALLED Caminucus lntenswas Monitoring <br /> 2350 2 390005236840515762 PT0016116 8,000 DIESEL Active,billable DOUBLE WALLED continuous Interstitial Monitoring <br /> 2350 3 390005236840515763 PT0016115 20,000 REGULAR UNLEADED Active,billable DOUBLE WALLED Co alnucus Interstitial Monitomg <br /> 2350 4 390005236840515764 PT0016117 20,000 DIESEL Active,billable DOUBLE WALLED Continuous lntontitial Monitomg <br /> 2350 5 390005236840515765 PT0016118 20,000 DIESEL Active,billable DOUBLE WALLED Continuous Interstitial Monitoring <br /> Underground Storage Tank Permit Conditions <br /> 1) The Permit to Operate will become void if Annual Permit Fees and Service Fees ere not paid and/or the UST system(s)fails to remain in compliance with these Permit Conditions. <br /> 2) N order to maintain the operating permit,the owner and operator shag comply with the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR Tire 23,Chap.16 and 19,as well as any conditions <br /> established by San Joaquin County. <br /> 3) If the Tank Operator(s)is different from the Tank Owner,or if the Permit to Operate is issued to a person other than the owner or operator of the tank,the Permittee shall ensure that both <br /> the Tank Owner and tank Operator receive a copy of the permit. <br /> 4) Written Monitoring Procedures and an Emergency Response Plan most be approved by the Environmental Health Department(EBD)and are considererd UST Permit Conditions. The approved <br /> monitoring,response,and plat plans shall be maintained onsite with the pemdt. <br /> 5) The Permittee shall comply with the monitoring procedures referenced in this permit. <br /> 6) The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment annually,or more frequently if specified by the equipment manufacturer,and <br /> provide documentation of such servicing to this office. <br /> 7) In the event of a spill,leak,or other unauthorized release,the Perishes shall comply with the requirements of Tire 23 CCR,Chap.16,An.5,and the approved Emergency Response Plan. <br /> g) Written records of all monitoring performed shall be maintained on-site by the operator and be available for inspection for a period of at least three years from the date the monitoring was <br /> performed. <br /> 9) The EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change. <br /> 10) Upon any change in equipment,design or operation of the UST system(including change in tank contents or usage),the Permit to Operate will be subject to review,modification or <br /> revocation. <br /> 11) Construction,repair and/or removal permits are required from the EHD prior to any change,repair or removal of UST system equipment. <br /> 12) The Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the date of the issuance of this permit. <br /> 13) This Permit to Operate shall not be considered permission to violate any laws,ordinances or statutes of any other Federal,State or Local agency. <br /> 14) A"Conditional'Permit may be revoked if corrections specified on the inspection report are not completed by the dates) indicated. <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: FAST LANE CENTRAL VALLEY LLC <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: FAST LANE CENTRAL VALLEY LLC FadlilyID FA0015977 <br /> 116 E ROTH RD A=Unt ID AR0027871 <br /> LATHROP CA 95330 Issued 5/21/2007 <br /> Billing Address: ATTN FAST LANE CENTRAL VALLEY LLC <br /> FAST LANE CENTRAL VALLEY LLC <br /> 1400 N DUTTON AVE STE 4 <br /> SANTA ROSA CA 95401 <br /> 702a.npt <br />
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