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Environmental Health - Public
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EHD Program Facility Records by Street Name
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WATERLOO
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6732
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2300 - Underground Storage Tank Program
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PR0231830
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BILLING
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Entry Properties
Last modified
7/6/2020 4:37:43 PM
Creation date
11/7/2018 12:45:56 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
RECORD_ID
PR0231830
PE
2361
FACILITY_ID
FA0004030
FACILITY_NAME
THREE PALMS GROCERY
STREET_NUMBER
6732
Direction
E
STREET_NAME
WATERLOO
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
10110001
CURRENT_STATUS
02
SITE_LOCATION
6732 E WATERLOO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\IAError\W\WATERLOO\6732\PR0231830\BILLING.PDF
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EHD - Public
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PERMIT CONDITIONS: <br />i) The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SERVICE Fees are not Paid and/or the UST systems) fail=__ <br />to remain in compliance with the PERMIT CONDITIlONS. <br />2) Tre PERMIT TO OPERATE is granted to the TANK OWNER wha accepts responsibility for operating and monitoring the UST system <br />according to State underground storage tank laws and regulations as well as any conditions established by ,an Joaquin Cnunty. <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 25253, Chapter 6.7, Division 20, California Health and Safety Code. <br />4) The TANK 1*0 shall notify the Environmental Health Division of any proposed change in operation or ownership of the UST <br />system. <br />5) Upon any change in equipment, design or operation of this fatility, 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 rmlyal or <br />change of UST system equipment. <br />7) This PERMIT TO OPERATE shall riot be considered permission to violate any existinog laws, ordinances or statutes of other <br />federal; state or local agencies. <br />PERMIT TO OPERATE an UST FACILITY issued to; BOZZANO, LINO <br />2851 N ARATA RD <br />STOCKTON, CA 5.426-5 <br />PERMITS TO OPERATE and ANNUAL PERMIT EEE PAYMENTS are NOT TRANSFERAE,LE <br />and rear be SUSPENDED ar. REVOI:ED for Cause. <br />TIHIS IFEIRM MST BE DISPLAYED MtSPI&0,Y5-LV ON, TWE PREMISES <br />* * * * * * * * <br />REGULATED FACILITY: THREE PALMS GROCERY <br />67:32 E HWY 88 <br />STOCKTON, CA 55205 <br />BILLING ADORE= THREE PALM' GROCERY <br />ATTN; BOZZANO, LINK <br />2851 N ARATA RD <br />STOCKTON, CA 352015 <br />Account ID: ON3EL9 <br />Facility ID: 004030 <br />Permit Printed: 03/02/98 <br />SAN JOA f-IJIN COUNTY PUBLIC HEALTH QrRVICES <br />' STOCKTON. CA 95202 ' ).9 d E (209) 468-3420 <br />304 E. WEBER AVBf IAD F1 -00i1 <br />_ <br />KAREN FuRsT. M.D., M.P.H., HEALTH OFFICER <br />DONNA HERAN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br />ENVIRONMENTAL HEALTH <br />STING BRIT FILA AE� HIt STiLs Tt;: :&u_ITIr <br />Annual Permit <br />Fee Valid <br />Tank <br />P/E Number <br />Tank Peridt From <br />Record ID Number Capacity Content=_ Permit Status <br />Permit. 01(01/98 <br />To <br />121'31/98 <br />r <br />TAIM2 006548 1,000 Unleaded 01 Active <br />1,000 Un.eaded 01 Active Permit O1/01/9B <br />12/31/ '^= <br />2360 005 <br />TAiSMIS 006556 <br />PERMIT CONDITIONS: <br />i) The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SERVICE Fees are not Paid and/or the UST systems) fail=__ <br />to remain in compliance with the PERMIT CONDITIlONS. <br />2) Tre PERMIT TO OPERATE is granted to the TANK OWNER wha accepts responsibility for operating and monitoring the UST system <br />according to State underground storage tank laws and regulations as well as any conditions established by ,an Joaquin Cnunty. <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 25253, Chapter 6.7, Division 20, California Health and Safety Code. <br />4) The TANK 1*0 shall notify the Environmental Health Division of any proposed change in operation or ownership of the UST <br />system. <br />5) Upon any change in equipment, design or operation of this fatility, 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 rmlyal or <br />change of UST system equipment. <br />7) This PERMIT TO OPERATE shall riot be considered permission to violate any existinog laws, ordinances or statutes of other <br />federal; state or local agencies. <br />PERMIT TO OPERATE an UST FACILITY issued to; BOZZANO, LINO <br />2851 N ARATA RD <br />STOCKTON, CA 5.426-5 <br />PERMITS TO OPERATE and ANNUAL PERMIT EEE PAYMENTS are NOT TRANSFERAE,LE <br />and rear be SUSPENDED ar. REVOI:ED for Cause. <br />TIHIS IFEIRM MST BE DISPLAYED MtSPI&0,Y5-LV ON, TWE PREMISES <br />* * * * * * * * <br />REGULATED FACILITY: THREE PALMS GROCERY <br />67:32 E HWY 88 <br />STOCKTON, CA 55205 <br />BILLING ADORE= THREE PALM' GROCERY <br />ATTN; BOZZANO, LINK <br />2851 N ARATA RD <br />STOCKTON, CA 352015 <br />Account ID: ON3EL9 <br />Facility ID: 004030 <br />Permit Printed: 03/02/98 <br />
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