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COMPLIANCE INFO 1988 - 2000
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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PR0231861
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COMPLIANCE INFO 1988 - 2000
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Last modified
9/5/2024 1:26:35 PM
Creation date
3/5/2019 1:32:04 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1988 - 2000
RECORD_ID
PR0231861
PE
2361
FACILITY_ID
FA0003601
FACILITY_NAME
ARCO STATION #826951*
STREET_NUMBER
130
Direction
S
STREET_NAME
WILSON
STREET_TYPE
WAY
City
STOCKTON
Zip
95205-5561
APN
15502064
CURRENT_STATUS
01
SITE_LOCATION
130 S WILSON WAY
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
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EHD - Public
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12-24-1998 S_SSAH FROM P. 1 <br /> " a ENV IRONfd2�:"`;,Z, HEP.ILTH DIVISION ,. <br /> APPLICATION FOR UNDERGROUND TANK RETROFIT, CR PIPING RVAIR PERMIT <br /> G8 <br /> TniS FSPxIT EXPIRES 90 DAYS FRQM THS APPROVAL PATE. DO NOT WRITE IN ANY SHADED AREAS, INDICATE PERMIT TY'PS StLOw; <br /> TANX R$'I'SiObtT PIPING REPAIR <br /> EPA SITE # PROJECT CONTACT +s TELEPHONE <br /> %6a <br /> F F.BCILITY NAME t _G 2HONH <br /> A <br /> I I ADDRESS k,D S-0. <br /> -- <br /> L ; CROSS 5TRrVr <br /> T j OWNER./OPEF.AT7R PHONE # <br /> Y �(�� � � I ;�-q <br /> C CONTRACTOR NAME / PHONE f <br /> i <br /> N I coNrrr.ACTOR ADDRESS (�\ + `C I Cis LIC # `g <br /> T <br /> A \` <br /> i "HER INFDRlAATICN I I <br /> T , <br /> J I I VwNt R <br /> ! j PHONZ j <br /> 11111{1111111lllllilllllllll!!� <br /> AIVK ID d TANK SIZE I CriF,2iICALS STORED CTJFiP NTL'f PREVICL's'L'f DATE UST INS"'A.i.2.£D <br /> ( 39- 1J�V� Q �Z�o oc� I C7�sl\y�Q i i <br /> 1 39- <br /> A 39- <br /> N <br /> K ( 39- <br /> 39- <br /> L <br /> 9• <br /> 1 39- ��I — <br /> �IIl1#!11!llllllllllllllllllll11111111! 111111[l11111I11111111!1111!lllEli111111{1111111111111111111111111lIIl U ll!l11111I1t1 (! <br /> L ( A'.iPRQiI�'D ADPROV84 WITH CO.I5% TON(i) DT.$APFROVRP <br /> Al t SEn A ".'L'NENT WITH CONDITIONS) <br /> N I PLAN REVIEWERS NAME �/ —' / LL/ / -1 r /, % C/ C DATE O �� <br /> —llllllllll(Iltii11111111!! 11 1! Il � II{I111I11 Iltlll 1111111111111111I1llllltlllllllllllltll 11(i1111111l11i1 <br /> APPLICANT MUS".' PERFOF-M ALL WORK IN ACCANCE WITH SAN JCAQUIN COUNTY ORDINANCES', STATE LAWS, AND RUL29 AND REGiP.-ATipNa OF I <br /> SAN JOAQUIN COUNTY PLIC HEALTH 3ERVI E . OWNER OR LICENSED AGENT'S SICNATURE CERTIFIES THE FOLLOWING: "I CERTIFY THAT IN f <br /> THE PERFGR;4ANCI 0^ THE WORK FOR WHICH #S PERMIT IS ISSUED, I SHALT. NOT EMPLOY ANY PERSON IN SUCH A MANNER A$ TO aECpME I <br /> SUBJECT TO WORKER'S COMPENSATION LAWS FI CALIFORNIA." CONTRACTOR'S HIRING OR SUBCONTRACTING SIGNAT'ZE CERTIFIES THE FOLLOWING:{ <br /> "I CERTIFY THAT IN THE PERFORMANCE OP WORK POP WHICH 'THIS P_PMXT w$ 1=4t, I $HAL;. wMFLOY PZRS0N5 $VP•J=cCT 70 WORKER'S <br /> COMPENSATION LAWS OF CAL' ORNIA." I <br /> APPLICPS.i'S SI'GNAT';RE; - l '�,- "(OTITLE \�'<4�C.C� W`W Y� � DATE Z- 2 �O 11 <br /> / f J ►C/ i i t W Y Z ������/W I IBJ �a7'f�L�.G 'i �j /1 <br /> ]ITLL NG OP STI( <br /> 1/i1�6`Yu <br /> Indicate the responsible par to be billed for additional PISS-EHD staff time expended beyond <br /> permit payment coverage per k. If the party designated below is different than t::e permit <br /> applicant, e.g. property owns , the party must acknowledge this responsibility for the billing <br /> by signature and date below- <br /> Name o address( OV) a �phone number SSW <br /> Signature <br /> I <br /> EH 22-0035 � t - <br /> -to ,'{/lz J79 / k e7 ` LLC <br />
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