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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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VICTOR
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2300 - Underground Storage Tank Program
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PR0231747
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BILLING_PRE 2019
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Entry Properties
Last modified
1/3/2024 2:44:38 PM
Creation date
11/6/2018 11:57:57 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231747
PE
2381
FACILITY_ID
FA0003769
FACILITY_NAME
TERESI TRUCKING LLC
STREET_NUMBER
900
Direction
E
STREET_NAME
VICTOR
STREET_TYPE
RD
City
LODI
Zip
95240
APN
04905026
CURRENT_STATUS
02
SITE_LOCATION
900 1/2 E VICTOR RD
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\V\VICTOR\900 1_2\PR0231747\BILLING.PDF
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EHD - Public
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STATE ID NUMBER 00000010994001 <br />Aoo)TPArTnNI I:nP PFRMTT TO OPERATE UNDERGROUND STORAGE TANK <br />( <br />01 NEW PERMIT' ` ` v., ( 1 05 RENEWED PERMIT l 107 TANK CLOSED f ] 09 DELETE FROM FILE (NO FEE) <br />02 CONDITIONAL PERMIT ( ) 06 AMENDED PERMIT ( ) 08 MINOR CHANGE (NO SURCHARGE) <br />V nlllf� <br />IAM,E(CORPORATION.INDIVIDUAL OR PUBLIC AGENCY) PUBLIC AGENCY ONLY <br />'ERESI TRUCKING INC I l 01 FED ( ) 02 STATE ( ) 03 LOCAL <br />iTREET ADDRESS CITY STATE ZIP <br />i00 1/2 VICTOR ROAD LODI CA 95240 <br />II FAb , <br />(X) 01 TANK ( ) 04 OTHER: <br />( ) GAUGE ( ) INCHES ( <br />CONTAINER <br />NUMBER 1 <br />B. <br />MANUFACTURER (IF APPROPRIATE): <br />YEAR MFG: 1973 <br />DEALER/FOREMAN/SUPERVISOR <br />YEAR INSTALLED 1973 f ) UNKNOWN <br />FACILITY NAME <br />` 'moi <br />E. DOES THE CONTAINER STORE: ( <br />JOHN TERESI/PRES <br />F. <br />#804E e�� S I <br />♦' L <br />01 <br />( ) <br />12 <br />CARBON STEEL () 02 STAINLESS STEEL <br />06 ALUMINUM ( ) 07 STEEL CLAD ( 1 <br />UNKNOWN ( ) 13 OTHER: <br />( 7 03 FIBERGLASS ( ) 04 <br />08 BRONZE ( 1 09 COMPOSITE <br />STREET ADDRESS <br />NEAREST CROSS STREET <br />900 1/2 VICTOR ROAD <br />BECKMAN ROAD <br />COUNTY <br />ZIP <br />CITY <br />SAN JOAQUIN <br />95240 <br />LODI <br />MAILING ADDRESS <br />CITY <br />STATE <br />ZIP <br />LODI <br />CA <br />95241 <br />P.O. BOX `&1.9, 1 a-� <br />PHONE W/AREA CODE <br />TYPE <br />OF BUSINESS <br />209-368-2472 <br />( ) <br />01 GASOLINE STATION (X) 02 OTHER PRIVATE <br />FUEL FACILIT <br />NUMBER OF CONTAINERS <br />RURAL AREAS <br />ONLY : <br />TOWNSHIP <br />RANGE <br />SECTION <br />4 <br />TII 24 HOUR EMERGENCY CONTACT PERSON <br />AYS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE NIGHTS: NAME(LAST NAME FIRST) AND PHONE W/AREA CODE <br />07 SCHMIDKE TERMINAL MGR 209-368-2472 ASK ANSWERING SERVICE FOR 209-368-2472 <br />COMPLETE THE FOLLOWING ON A SEPARATE FORM FOR EACH CONTAINER <br />TV DESCRIPTION <br />A. <br />(X) 01 TANK ( ) 04 OTHER: <br />( ) GAUGE ( ) INCHES ( <br />CONTAINER <br />NUMBER 1 <br />B. <br />MANUFACTURER (IF APPROPRIATE): <br />YEAR MFG: 1973 <br />C. <br />YEAR INSTALLED 1973 f ) UNKNOWN <br />D. <br />1?- 'SCC . <br />CONTAINER CAPACITY: 38190^ GALLONS ( ) UNKNOWN <br />E. DOES THE CONTAINER STORE: ( <br />) 01 WASTE (X) 02 PRODUCT <br />F. <br />DOES THE CONTAINER STORE MOTOR VEHICLE FUEL OR WASTE OIL ? (X1 01 YES ( ) 02 NO <br />( ) 01 UNLEADED ( ) 02 REGULAR ( ) 03 PREMIUM (X) 04 DIESEL ( 1 05 WASTE OIL ( <br />IF YES CHECK APPROPRIATE BOX(ES): <br />) 06 OTHER <br />V CONTAINER CONSTRUCTION <br />A. <br />THICKNESS OF PRIMARY CONTAINMENT: <br />( ) GAUGE ( ) INCHES ( <br />I.CM (X) UNKNOWN <br />B. <br />( ) <br />01 <br />VAULTED (LOCATED IN AN UNDERGROUND VAULT) (X) 02 NON -VAULTED ( <br />) 03 UNKNOWN <br />C. <br />( 7 <br />01 <br />DOUBLE WALLED (w X02 SINGLE WALLED <br />( ) 03 LINED <br />0. <br />(X) <br />f ) <br />01 <br />( ) <br />12 <br />CARBON STEEL () 02 STAINLESS STEEL <br />06 ALUMINUM ( ) 07 STEEL CLAD ( 1 <br />UNKNOWN ( ) 13 OTHER: <br />( 7 03 FIBERGLASS ( ) 04 <br />08 BRONZE ( 1 09 COMPOSITE <br />POLYVINYL CHLORIDE ( ) 05 CONCRETE <br />( 1 10 NON-METALLIC <br />HSC04-070185 (10/18/85) <br />low <br />PAGE 1 <br />
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