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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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PR0231963
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BILLING_PRE 2019
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Entry Properties
Last modified
1/11/2024 2:18:57 PM
Creation date
11/7/2018 10:14:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231963
PE
2361
FACILITY_ID
FA0006445
FACILITY_NAME
PG&E: Stockton Service Center
STREET_NUMBER
4040
STREET_NAME
WEST
STREET_TYPE
Ln
City
Stockton
Zip
95204
APN
117-020-01
CURRENT_STATUS
01
SITE_LOCATION
4040 West Ln
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
KBlackwell
Supplemental fields
FilePath
\MIGRATIONS\W\WEST\4040\PR0231963\BILLING 1985 - 2000.PDF
QuestysFileName
BILLING 1985 - 2000
QuestysRecordDate
8/2/2018 6:44:07 PM
QuestysRecordID
3953384
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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SAN J�, JOIN COUNTY PUBLIC HEALTH VICES <br /> 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE (209) 468-3420 <br /> KAREN FURST, M.D., M.EH., HEALTH OFFICER <br /> DONNA HERAN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY CERTIFIED UNIFIED PROGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Program Penni/ <br /> Record 11) Number Program Code and Descriptio Penni <br /> Valid <br /> PRO513829 PT0010024 2248-RCRA HAZARDOUS WASTE GENERATOR FACILITY 1/1/01 To 12/31/01 <br /> Hazardous Waste Generator Program: <br /> California Health and Safety Code Div_20,Chap:6.Sc Art_2-13 Sec.25100 et sed,and Title 22 California Code of Regulations_Chap.20_ _ <br /> '—'-- ---------— <br /> PR0231963 2300.UNDERGROUND STORAGE TANK FACILITY 1/1/01 To 12/31/01 <br /> Underground Storage Tank Program: <br /> California Health and Safety Code Div.20,Chap_6.7 and Title 23 California Cade of Regula8ons Cha _16: ______ ___ <br /> - --- --p <br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type <br /> 2360 11 390002319630196311 PT0006648 10,000 REGULAR UNLEADED Active DOUBLE WALLED <br /> 2360 10 390002319630196310 PT0006646 10,000 DIESEL Active DOUBLE WALLED AUTOMATIC TANK GUAGE <br /> 2360 9 390002319630196309 PT0006643 1,000 WASTE OIL Active DOUBLE WALLED INTERSTITAL MONITOR <br /> 2362 8 390002319630196308 PT0006639 1,000 OTHER Active <br /> Underground Storage Tank Per Conditions <br /> I) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the UST system(s)faik to remain in compliance with these Permit <br /> Conditions. <br /> 2) In order to maintain the operating permit,the permit holder shall comply with the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR,Title 23,Chap. 16 and 18,as well as <br /> any conditions establish ed by San Joaq uin County. <br /> 3) If the Tank Operaam(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 <br /> ensure that both the Tank Owner and tank Operator receive a copy of the permit. <br /> 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental Health Division(PHS/EHD)and are considemrd UST Permit <br /> Conditions. Copies of the Procedures and Emergency Response Plan must be attached to this permit or be available for review and/or inspection at the UST site. <br /> 5) The Permittee shall comply with the monitoring procedures refetrenced in this permit. <br /> 6) The Permittee shall perform testing and preven five maintenance on all leak detection monitoring equipment annually,or more frequently if specified by the equipment <br /> menu lecturer,and provide documentation ofsuch servicing to this office. <br /> 7) In the event of a spill,leak,or other unauthorized release,the Permitee shall comply with the requirements of Tile 23 CCR,Chap.16,Art.5,and the approved Emergency <br /> Response Plan. <br /> 8) Written records of all monitoring performed shall be maintained on-site by the operatorand be available for inspection fora period of at least three}ears from the date the <br /> monitoring was performed. <br /> 9) The PHS/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(he UST system(including change in tankcoments or usage),the Permit to Operate will be subject In review, <br /> modification or revocation. <br /> l I) Construction,repair and/or removal permits are required from the PHS/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 anniversarydate of the issuance ofthis 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 date(s) indicated. <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: PG&E <br /> DBA: PG&E STOCKTON SERVICE CENTER <br /> Tank Owner: PG & E <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: P G & E STOCKTON SERVICE CTR Facility ID FA0006445 <br /> 4040 WEST LN Account ID AR0008439 <br /> STOCKTON. CA 95204 Issued 3/2912001 <br /> Billing Address: ATTN : ENVIRONMENTAL SPECIALIST <br /> P G & E STOCKTON SERVICE CTR <br /> PO BOX 930 <br /> STOCKTON, CA 95201 <br /> 7023.rpt <br />
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