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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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BENJAMIN HOLT
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2300 - Underground Storage Tank Program
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PR0231883
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BILLING_PRE 2019
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Entry Properties
Last modified
9/25/2019 9:18:52 AM
Creation date
11/8/2018 10:23:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231883
PE
2351
FACILITY_ID
FA0002111
FACILITY_NAME
BEN HOLT SHELL
STREET_NUMBER
3011
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95219
APN
10018010
CURRENT_STATUS
02
SITE_LOCATION
3011 W BENJAMIN HOLT DR
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Supplemental fields
FilePath
\MIGRATIONS3\B\BENJAMIN HOLT\3011\PR0231883\BILLING.PDF
QuestysFileName
BILLING
QuestysRecordDate
12/29/2011 8:00:00 AM
QuestysRecordID
104119
QuestysRecordType
12
QuestysStateID
1
Tags
EHD - Public
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SAN JO' ti,UIN COUNTY PUBLIC HEALTH,-4 2VICES <br /> " - 304 E.WEBER AV?%4HIRD FLOOR • STOCKTON,CA 95202 • PHONE(209)468-3420 <br /> KAREN FORST, M.D., M.P.H., HEALTH OFFICER <br /> DONNA HERAN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> PE)RATI FVA IT FOR l .- ftD STORAGE: TAW,,. FAC&r_ITY <br /> Tank Tank Permit Annual PermA Fee Vaiid <br /> HE Number Record ID Number Capacity Contents Permit Status From To <br /> 2315 005 TAI 305 004,411 550 Waste Oil 01 Active Permit 01/01/98 12/31/9'd <br /> 23'.5 091 TA505959 O-OlaKZ6 15,000 Reg Unleaded 01 Active Permit. 01/01/98 12/31/98 <br /> 2315 008 TA505960 (y)8827 15,00 Prem Unleaded 01 Active Permit. 01/01P 12131/:8 <br /> PERMIT CONDITION'S ; <br /> 1) The PERMIT TO .OPERATE will become void if AWAL PERMIT Fees and 'SERVICE Fees are not paid and/or the LIST systems) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to tte TANK OWNER who accepts responsibility for operating and monitoring the UST system <br /> according to State underground storage tart: laws and regulations as well as any conditions established by San Joaquin County. <br /> 3) The TANK. OPERATOR(S), if different from the tank owner, shall operate and monitor the U'ST system according to the WRITTEN <br /> OPERATING AGREEMENT required under Section 2529.3, Chapter 6.7, Division 20, California Health and Safety Code. <br /> 4) The TANK OWNER shall notify the Enviromfental Health Division of any proposed change in operation or ownership of the UST <br /> system. <br /> S) Upon any change ir; equipment, design or Operation of this facility, the PERMIT TO OPERATE will be reviewed by tte <br /> Environmental Health Divi=_.ion. <br /> 6) A construction or removal permit is recyuired from the Enviroronental 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 laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an 11ST FACILITY issued to: SHELL OIL CO INC <br /> 1390 WILLOW PASS RD #900 <br /> CONCORD, CA 94524 <br /> PERMIT:: TO OPERATE and ANNUAL PERMIT FEE PAYMENT'_ are NOT TRANSFERABLE <br /> and may be SU';PENDED c'r REVOk'*ED fc,r cause . <br /> a d as m # # # # <br /> THIS, FURM WUPST IBE DISPLAYED C IC-VMiSLY ON TWE PWXISiES <br /> # # # # # 4 <br /> RELATED FACILITY- SHELL SERVICE 'STA# Account ID; 003362 <br /> 3011 W BENJAMIN HOLT DR Facility ID: 02111 <br /> ,TOC:KTON, CA 95207 Permit Printed: 03/02/93 <br /> BILLING ADDRESS: ;SHELL SERVICE STA# <br /> ATTN : BENJAMIN HOLT SHELL <br /> 3011 W BENJAMIN HOLT DR <br /> STOC 70N, CA 95207 <br />
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