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Environmental Health - Public
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EHD Program Facility Records by Street Name
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3500 - Local Oversight Program
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PR0545339
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Last modified
2/11/2020 7:28:37 PM
Creation date
2/11/2020 4:59:18 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3500 - Local Oversight Program
File Section
FIELD DOCUMENTS
RECORD_ID
PR0545339
PE
3528
FACILITY_ID
FA0003633
FACILITY_NAME
ARCO 07049
STREET_NUMBER
800
Direction
E
STREET_NAME
KETTLEMAN
STREET_TYPE
Ln
City
Lodi
Zip
95240
APN
06206042
CURRENT_STATUS
02
SITE_LOCATION
800 E Kettleman Ln
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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C?r"/1R0NMENTA H E Y� H POST ON PREMISE <br /> y. <br /> PERMI 00134-3 1 s <br /> ISSUED: [ EXPIR<~$: � - 1 N0. <br /> •_Ei.�t� .:.1 t�''�,�:_ l.1;'�_ €Ill.�`=l' <br /> 31 , 1`-1:sci <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. • PHONE 466-6781 <br /> Permit issued tq i%:IN #20-1` = P.O. BOX 2009 • STOCKTON, CA 95201 <br /> =110 K ETTLEMAN LANE <br /> LODI CA <br /> OPERATING PERMIT FOR UNDERGROUND <br /> - a-us t, C;2 STORAGE TANK FACILITY <br /> PETr-:r:• r, },s ki �' rASRC.. I-IETIR21 ....1.h P `D' - 'C"),�'f'CE r ri 1£_:�'� �•_€. " l l {i' i=i j� i!Ir .)C:i'- <br /> P, 0, BOX 5811 TANK OWNER I.S , FLOWI. STRE`-=3_ <br /> •N I I'Yl 3 C_I F �c i7L LOS ; C <br /> 4,6 <br /> _ <br /> NUMBER OF TANKS <br /> Ian Descripvion t o,juct Cpacit,y LOM Status <br /> 0 Of) €I ,� e- i " rif � i y <br /> .,41�. k�i`y,... l�illeaf_,_�� ,41,l�.,� .� <br /> 'y;i S'i'ii t J J <br /> E...a(,3; [T•:_= 1)iil ciU U1 <br /> 61000 <br /> (1; %(K-5 TAIjK`3: Premium J,000'. S �Ji} <br /> 0004 TANKS Regular 4,000 . L i) <br /> z3-'': Regular 4,000 <br /> CONDITIONS <br /> one (1) year <br /> 1. This permit expires in f1ves(5)-.yearscand 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 /> 5. Upon a significant change in design or operation of this facility, permit will be reviewed by the _ <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 /> i^.,-2: _' _ _ aj rya - i: - s i---'•' i - <br /> District Health Officer Director of Environmental Health <br /> THIS PERMIT MAY BE SUSPENDED OR REVOKED FOR CAUS <br />
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