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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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SAN JOO,UIN COUNTY PUBLIC HEALTH :RVICES <br />P O Box 388 SToc:ccToN, CA 95201-0388 • Pe0N'e(209) 465-3420 <br />ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br />DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br />1' 1 14 1 N I I I MA 0 M 1 <br />LPERATING PERMIT FOR i")E)RGh'CK*M STORAGE TANK FACILITY <br />Tank Tank Parrott <br />lumber Record ID Nlanber <br />Annual Permit Fee Valid <br />From To <br />4a v ui WL iMicsvWbZ46 ilum unleaneo 01 Active Permit 01/01/1 12/31/96 <br />2360 005 IA1831005 0%545 11000 Unleaded (11 Active Permit 01/01/96 12/31/96 <br />PERMIT CONDITIONS; <br />I) The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees a„d SERVICE Fees are not paid and/or the UST system(s) falls <br />tLo remain in compliance with the PERMIT CONDITIONS. <br />2) The PERMIT TO OPERATE is granted to the TANK CSR who 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 San Joaquin County. <br />31 The TANK OPERATOR(S), if different from the tank owner, shall operate and w.nitor the UST system according to the WRITTEN <br />OPERATING AGREEMENT required under Section 25293, Chapter 6.7, Division 20, California Health and Safety Code. <br />A) The TU OWNER 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 facility, the PERMIT TO OPERATE will be reviewed by the <br />Environmental Health Divisicr. <br />6) A construction or removal permit is required from the Environmental Health Division prior, to any removal or <br />change of UST system equipment. <br />7) This PERMIT TO OPERATE shall not be considered permission. to violate any existing lams, ordinances or statutes of other <br />federal, state or local agencies. <br />PERMIT TO OPERATE an LIST FACILITY issued to; BOZZANO , LINO <br />2891 N ARATA RD <br />S"iOCKTON, CA 95206 <br />PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br />and may be SUSPENDED <br />or REVOKED for <br />cause. <br /># # <br />N 4 t <br />THIS F f MIST BE DISFiAYED <br />CONWICIV ELY <br />ON THE PREMISES <br />REGULATED r'ACILITY; THREE PALMS GROCERY <br />Account ID; <br />000:=669 <br />6 7 32, E HWY 88 <br />Facility ID; <br />0040=0 <br />STOCKTON, CA 95205 <br />Permit Printed; <br />05/02/96 <br />BILLING ADDRESS: <br />THREE PALMS GROCERY <br />ATTN: B07ZANO, LINO <br />2591 N ARATA RD <br />TOC:KTON , CA 95205 <br />
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