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SITE INFORMATION AND CORRESPONDENCE_FILE 1
Environmental Health - Public
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SITE INFORMATION AND CORRESPONDENCE_FILE 1
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Last modified
4/3/2020 2:46:38 PM
Creation date
4/3/2020 2:30:39 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2900 - Site Mitigation Program
File Section
SITE INFORMATION AND CORRESPONDENCE
FileName_PostFix
FILE 1
RECORD_ID
PR0528433
PE
2957
FACILITY_ID
FA0019174
FACILITY_NAME
CHEVRON SERVICE STATION 9-6171
STREET_NUMBER
6633
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
09741048
CURRENT_STATUS
02
SITE_LOCATION
6633 PACIFIC AVE
P_LOCATION
99
P_DISTRICT
002
QC Status
Approved
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PUBLIC HEALTH SEkJICES oPa�.N <br /> SAN JOAQUIN COUNTY <br /> JOGI KHANNA M.D.,M.P.H. <br /> Health Officer <br /> P.O. Box 2009 . (1601 East Hazelton Avenue) • Stockton, California 95201 <br /> c4��Foa`'`P <br /> (209) 468-3400 <br /> UNDERGROUND STORAGE TANK PROGRAM <br /> TITLE: Policy Statement for SPECIAL WELL PERMITS <br /> NUMBER: 89-001 <br /> EFFECTIVE DATE: OCTOBER 26, 1989 <br /> SUPERSEDES: 89-001, JANUARY 1, 1989 <br /> APPROVED BY. DATE: <br /> Provisions for issuing SPECIAL PERMITS for well construction are <br /> contained in San Joaquin County Ordinance Code Sect. 5-4105 and <br /> page 2 , paragraph I, D of the associated Rules and Regulations. <br /> SPECIAL PERMITS shall be reviewed on an individual basis and <br /> evaluated according to the following criteria: <br /> 1. The well construction shall not be detrimental to the <br /> public health or safety. <br /> 2 . The well construction shall be for a limited period of <br /> time. A maximum time period may be specified by the <br /> Public Health Services San Joaquin County, Environmental <br /> Health Division. <br /> 3 . Minimum isolation distances from potential sources of <br /> contamination shall be maintained unless precautionary <br /> measures are implemented to ensure against contamination. <br /> 4 . SPECIAL PERMITS shall be identified with a special stamp <br /> in bold letters and all conditions shall be identified <br /> on the permit. <br /> 5 . SPECIAL PERMITS shall be periodically reviewed for <br /> compliance with conditions until the well is taken out <br /> of service and properly destroyed. <br /> 6. Wells constructed under SPECIAL PERMITS shall be <br /> destroyed under permit and inspection by the PHS/SJC/EHD. <br /> A Division of San Joaquin County Health Care Services 0 <br />
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