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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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WILCOX
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2120
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2300 - Underground Storage Tank Program
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PR0503728
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BILLING_PRE 2019
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Entry Properties
Last modified
7/2/2020 10:13:02 AM
Creation date
11/8/2018 10:00:23 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0503728
PE
2381
FACILITY_ID
FA0005949
FACILITY_NAME
MOORMANS WATER SYSTEMS
STREET_NUMBER
2120
STREET_NAME
WILCOX
STREET_TYPE
RD
City
STOCKTON
Zip
95215
APN
10102120
CURRENT_STATUS
02
SITE_LOCATION
2120 WILCOX RD
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
Scanner
KBlackwell
Supplemental fields
FilePath
\MIGRATIONS3\W\WILCOX\2120\PR0503728\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
3/21/2018 5:40:22 PM
QuestysRecordID
3832701
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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POST ON PREMISE <br /> DORONMENTAL HEAL70 <br /> ISSUED: EXPIRES: <br /> PERMIT N0. <br /> y ::zus+. 28i' s:;'=� _eC�a�s l�1' " ; f--413'= SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. • PHONE 466-6781 <br /> Permit issued to: P.O. BOX 2009 • STOCKTON, CA 95201 <br /> P <br /> 4r12,0 WILCOX RD <br /> : G(l ::IGN C:A q5211s OPERATING PERMIT FOR UNDERGROUND <br /> Status, fs` STORAGE TANK FACILITY <br /> M'00 ;11441` ; W S Ei; ;'r`:=T�t'iw; TANK OWNER +- Fig's iij�?IhiiHfu <br /> o W i C:l I n li s�s 4"243 C:HERRYL ND <br /> t i fc3l'OCUKTON <br /> _:j C� I:'tl-tis, f: <br /> NUMBER OF TANKS <br /> iaiik: ( escri t.•io t 3'i_Id;. ct• <br /> ----------- <br /> CONDITIONS <br /> 1. This permit expires in five (5) years and is renewable thereafter. Inspection fee will be billed annually. <br /> 2. This permit is granted to the tank owner who accepts responsibility for operating and monitoring the tank <br /> system according to state underground storage tank laws and regulations and conditions set by the county. <br /> 3. Tank operators, if different than the owner, shall operate and monitor the tank system according to the <br /> written operating agreement required under Section 25293, Chapter 6.7, Division 20, California Health and <br /> Safety Code. <br /> 4. Tank owner shall notify the Environmental Health Division of any proposed change in operator or ownership <br /> of tank system. <br /> tion of this facility, permit will be reviewed by the <br /> 5. Upon a significant change in design or opera <br /> Environmental Health Division. <br /> 6. This permit cannot be considered as permission to violate existing laws,ordinances, regulations or statutes <br /> of other governmental agencies. <br /> 7 . I!`•Ss is a GCvl+Jltjc,—jaj perfmit• subject L•Ili X15=C�ns11f13j+.1r 1-•t'� C4....ati�{n fr--,`i' �ctial�t �( }.t! Cs:`•f} �yt. <br /> -1C 1r�'G {-Out T i� f.i t •' i 1 t _I ( 1ri-f i� rit l_'•r.'r i• 4- _`��"t �ji+�:JT }-tC i L i 4Y <br /> #,!':� '�it.laL.iCl's,_., 1�='r` s� �l iLfi,C;� 't•L <br /> ,s_tad + T r <br /> �.11`_�t'C L•i 1.11 f 4't�'�11y'l•. <br /> ,vii ,...•:... ...., <br /> District Health Officer Director of Environmental Health <br /> THIS PERMIT MAY BE SUSPENDEWR REVOKED FOR CAUSE • <br />
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