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BILLING_PRE 2019
Environmental Health - Public
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2300 - Underground Storage Tank Program
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PR0231706
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BILLING_PRE 2019
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Last modified
10/5/2022 3:50:41 PM
Creation date
4/2/2019 11:05:41 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
BILLING
FileName_PostFix
PRE 2019
RECORD_ID
PR0231706
PE
2361
FACILITY_ID
FA0000485
FACILITY_NAME
FLAG CITY CHEVRON
STREET_NUMBER
6421
STREET_NAME
CAPITOL
STREET_TYPE
AVE
City
LODI
Zip
95242
APN
05532024
CURRENT_STATUS
01
SITE_LOCATION
6421 CAPITOL AVE
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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SAN JOA IN COUNTY PUBLIC HEALTH S- 7ICES <br /> 304 E. WEBER AYE.,TilIRD FI,00R • STOCKTON,CA 95202 • PlIONt:(209)468-3420 <br /> KAREN I:IIRS'I'. M.D., M.P.II., HEALTH OFFICER <br /> DONNA I-IFRAN, R.E.H.S., DIRF:Cf012 ENVIRONMI:Nl-At. HFALT'H DIVISION <br /> SAN JiAQUIN COUNTY CERTIFIED UNIFIED PRLOGRAM AGENCY <br /> PERMIT TO OPERATE <br /> Program Permit Permit <br /> Record TD Number Program Code and Description Valid <br /> PR023170 2300-UNDERGROUND STORAGE TANK FACILITY 1/1/01 To 12/31/01 <br /> Underground Storage Tank Program: <br /> California Health and Safety Code Div.20,Chap.6.7 and-Title-23-California Code of Regulations Chap. 16_ _ _ _ _ _ <br /> - - - - - - - - ---- - - <br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type <br /> 2360 7 390002317060505569 PT0008136 10,000 DIESEL Active,billable DOUBLE WALLED <br /> 2360 8 390002317060505570 PT0008135 10,000 UNLEADED Active,billable DOUBLE WALLED <br /> 2360 9 390002317060505571 PT0008134 12,000 UNLEADED Active,billable DOUBLE WALLED <br /> 2362 6 390002317060505568 PT0008133 10,000 UNLEADED Active,billable DOUBLE WALLED <br /> BOE ID# 44-036753 <br /> Underground Storage Tank Permit Conditions <br /> 1) The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the LIST system(s)fails to remain in compliance with these Permit Conditions. <br /> 2) In order to maintain the operating permit,the permit holder shall comply with the FI&S Code,Div.20,Chap.6.7 and 6.75;and CCR,Title 23,Chap.16 and 18,as well as any <br /> conditions established by San Joaquin County. <br /> 3) If the Tank Operator(s)is different from the Tank Owner,or if the Permit to Operate is issued to a person other than the owner or operator of the tank,the Permittee shall ensure that <br /> hath the Tank Owner and lank Operator receive a copy of the permit. <br /> 4) Written Monitoring Procedures and an Emergency Response Plan must be approved by the Environmental I lealth Division(PNS/EHD)and are considcrerd UST Permit Conditions. <br /> Copies of the Procedures and Emergency Response Plan must be attached to this permit or be available for review and/or inspection at the UST site. <br /> 5) The Permittee shall comply with the monitoring procedures referrenced in this permit. <br /> 6) The Permittee shall perform testing and preventive maintenance on all Irak detection monitoring equipment annually,or more frequently if specified by the equipment manufacturer, <br /> and provide documentation of such servicing to this office. <br /> 7) In the event of a spill,leak,or other unauthorized release,the Permitee shall comply with the requirements of Title 23 CCR,Chap.16.Art.5,and the approved Emergency Response <br /> Plan. <br /> 8) Written records of all monitoring performed shall be maintained on-site by the operator and he available for inspection for a period of at least three years from the date the monitoring <br /> was performed. <br /> 9) The PHS/EFID shall be notified of any change in ownership or operation of the UST system within 30 days of such change. <br /> 10) Upon any change in equipment,design or operation of the(1sT system(including change in tank contents or usage),the Permit to Operate will be subject to review,modification or <br /> revocation. <br /> 11) Construction,repair and/or removal permits are required from the P1IS/EIID prior to any change,repair or removal of UST system equipment. <br /> 12) The Permittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of the anniversary date of the issuance of this permit. <br /> 13) This Permit to Operate shall not be considered permission to violate any laws,ordinances or statutes of any other Federal.State or local agency. <br /> 14) A"Conditional"Permit may he revoked if corrections specified on the inspection report are not completed by the date(s) indicated. <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may he SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: FIRST INVESTMENT FLAG CITY INC <br /> DBA: FLAG CITY CHEVRON <br /> Tank Owner: RICHARD BOKIDES <br /> TIIIS FORM MUS"I'BF.DISPLAYED CONSPI('tIOIISI,Y ON THF PRF.MISF,S —� <br /> Regulated Facility: FLAG CITY CHEVRON Facility ID FA0000485 <br /> 6421 CAPITOL AVE Account ID AR0000484 <br /> LODI. CA 95242 Issued 8/24/2001 <br /> Billing Address: ATTN : NAVTEJ SINGH DHINGSA <br /> FLAG CITY CHEVRON <br /> 6421 CAPITOL AVE <br /> LODI, CA 95242 <br /> 7023.rpt <br />
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