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SITE INFORMATION AND CORRESPONDENCE
Environmental Health - Public
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3500 - Local Oversight Program
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PR0545328
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SITE INFORMATION AND CORRESPONDENCE
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Last modified
2/11/2020 8:51:28 PM
Creation date
2/11/2020 11:00:49 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
SITE INFORMATION AND CORRESPONDENCE
RECORD_ID
PR0545328
PE
3528
FACILITY_ID
FA0009569
FACILITY_NAME
Custom Design Manufacturing
STREET_NUMBER
248
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
Ln
City
Lodi
Zip
95240
APN
06206046
CURRENT_STATUS
02
SITE_LOCATION
248 E Kettleman Ln
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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" I <br /> } Ef IRON MENTAL H EAD A POST ON PREMISE <br /> f <br /> ISSUED: EXPIRES: PERMIT k NQ, ; <br /> - `- SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> Permit issued to: 1661 E. HAZELTON AVE. + PHONE 466-6781 <br /> f '1EI,,;MN- FiF,ii P.O. BOX 2009 + STOCKTON, CA 95201 <br /> - - <br /> ^ r; C .� <br /> `-2 - �' � OPERATING PERMIT FOR UNDERGROUND <br /> 17 :I <br /> �u= STORAGE TANK FACILITY <br /> ;i <br /> I . <br /> I - ►=r it;...` TANK OWNER v�F rii;; r Vii. <br /> �_. <br /> W E,_. r,l=i I i'EMAN LA-i <br /> :i <br /> NUMBER OF TANKSty <br /> - — ------ <br /> 0 <br /> If <br /> II <br /> } <br /> . I <br /> E! <br /> k <br /> CONDITIONS l <br /> 1. This permit expires in 1W (5y�eacs;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 l <br /> Safety Code. I <br /> 4. Tank owner shall notify the Environmental Health Division of any proposed change in operator or ownership f <br /> of tank system. <br /> 5. Upon a significant change in design or operation of this facility, permit will be reviewed by the <br /> Environmental Health Division. ;f <br /> 6. This permit cannot be considered as permission to violate existing laws,ordinances, regulations or statutes <br /> of other governmental agencies. <br /> to <br /> s <br /> �§ t <br /> :I <br /> I <br /> ;i <br /> E� 1 <br /> I <br /> � I <br /> d I0f�17!'r!tLf <br /> District Health Officer l Director of Environmental Health <br /> THIS PERMIT MAY BE SUSPENDEL, OR REVOKED FOR CAUSE I; <br />
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