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BILLING 1985-2004
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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PR0231300
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BILLING 1985-2004
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Entry Properties
Last modified
9/5/2024 1:54:55 PM
Creation date
11/7/2018 11:17:19 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
1985-2004
RECORD_ID
PR0231300
PE
2361
FACILITY_ID
FA0001858
FACILITY_NAME
MY MINI MART
STREET_NUMBER
1756
Direction
N
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205
APN
11721005
CURRENT_STATUS
01
SITE_LOCATION
1756 N WILSON WAY
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\rtan
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\MIGRATIONS\W\WILSON\1756\PR0231300\BILLING 1985-2004.PDF
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EHD - Public
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SAW110AQUIN COUNTY PUBLIC RE PAP SERVICES <br /> P 0 B01988 0 STmKToN, CA 95201-0388 e MoNE (209) 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA HERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> - -i -- -�'AN <br /> WIERAT N6 -4--'Efih I T FIDIR -K FAQ'I i I TY <br /> L <br /> -fi i t Fee <br /> Permit Amimp.11 Per; <br /> permit. Status From <br /> PiE "timthe7% R'Elcord ID Nmber CRP-Rci�•'� COntQts 02 Condit <br /> TA73 a-10 I IUnleadeJ ional perp.Tt ;Ilia?11,; 2(2,1 9 <br /> it 14 3- <br /> 02 Cor�ditiona` Perr <br /> 221P.0 0074.'327 10,X4) <br /> PERMIT CONDITIONS: <br /> I? The PERMIT TO C)PERATE wi!I becow void if ANKAL PERMIT Fees arl-m- S-ERVICE Fp-e--- are got paid andi'l--m- the s-Ystefl(c) <br /> to rethaip in compliance with the PERMIT CONDITIOWS. ts re5p)psi�,iiity fr eratilirg arid. ?:'nit.C. US, <br /> ATE is graTited to the TANK IWER ;A-, acc-P x- op-L Tiirm f tie I T SYSterp <br /> Trie PERMIT TO OPER <br /> ations-, as we'll as any crjnl4litj,-�ns estatillshed by 1,;aa jo�nlqui-n Coumi-Y. <br /> arcording to tate underground i,;foraqe tar& laws and, regul. , <br /> 3) T11* TANK OPERATOR(S), if differeni fri"[u the 'tal owner, shall ope-fate and monitor the !,.)---TT syst,41 to the 'JR171EN <br /> fl'PERATI% AGREEMEMT recpi-=ed widar 2ki"'lon 252103, ChapLar 6.7, Division 20. California- Realth and c--3iet,, Code. <br /> L. I 1]- 1-- ;. a kd <br /> me � AK OWER shall nod-HY t'r, I - — <br /> T, TP pealth Division of any proposed chanag2 iii cquatie" Or u4ne-pship of the LISST <br /> UK.11 any charge -IT; equipment, desic'n TO OPERATE will be Tey iewfd :!y the <br /> 0� operation, ct is facility, the PRMI <br /> Environmental Kealthi Division. <br /> 6) A construction or refftoval Permit iS req red from the En-viriji-immt-3) H2alth Division prior to ally refto"'al cil <br /> change of %T system erfmi,'%,ent. -_t. rg laws, ordinances or statutes of cfhel% <br /> T a e an exiqlir, <br /> 7) This PERMIT io CnMTE shall not t* lconsid---�ed perrui Sion .0 v'01-t- y <br /> fed.-TRI. State OT local agE-CiCieS- <br /> mfpleted -hy tt-4 d.ate(s) sF-.:cif ied OLq -nsppertion. <br /> e) A 11('.oi-iditional Permit" rfia-j ba revoked if corrections are Tin.,-t <br /> PERMIT TO OPERATE an UlST FACILITY issueiJ to: CWON FF*IUDING <br /> :JOC:i�""TOIN' , CA 9'D''0 <br /> -5 <br /> PERMITS TO OPERATE z;Y-jd Pit NiJAL- PERMIT FEE PAYMENTS are NOT TRANSi7EWL-E <br /> arid may be SUSPENDED REVOKED for cause . <br /> # <br /> THIS FL-C" nk�Ly Cs -E E" - E <br /> Lk:, <br /> !T BjE Dj!Sj-tAy <br /> i TH m is S <br /> REGIIATED FACII TTY Account 10 <br /> M, <br /> 17 G N Fac-i-1 i 7'.y 11D i i-J; D9 <br /> 0T1 41:KTON .A ppin:T. j <br /> e, �j <br /> BILLING AND % S: <br /> �1114T MART <br /> A I . <br /> ATTNi MY MINI MART <br /> SJOCKTON , CA <br /> 0 <br />
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