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COMPLIANCE INFO_2002-2009
Environmental Health - Public
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PR0231069
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COMPLIANCE INFO_2002-2009
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Last modified
2/27/2023 4:51:25 PM
Creation date
6/3/2020 9:44:40 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2002-2009
RECORD_ID
PR0231069
PE
2361
FACILITY_ID
FA0001909
FACILITY_NAME
STOP N SHOP
STREET_NUMBER
1856
Direction
W
STREET_NAME
COUNTRY CLUB
STREET_TYPE
BLVD
City
STOCKTON
Zip
95204
APN
123-191-02
CURRENT_STATUS
01
SITE_LOCATION
1856 W COUNTRY CLUB BLVD
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231069_1856 W COUNTRY CLUB_2002-2009.tif
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EHD - Public
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San <br />Joaquin County i <br />Environmental Health <br />epartmenA <br />.11 East Main Street <br />Stockton, California <br />November 16, 2007 <br />1MK- <br />WNWINIUMN <br />" • • i i • i` <br />Phone: (209) 468-3420 <br />i*464-0138 <br />RE: Country Club Food and Fuel <br />1856 Country Club Blvd. <br />Stockton, CA 95204 <br />DIRECTOR <br />Donna Heran, REHS <br />ASSISTANT DIRECTOR <br />Laurie Cotulla, REHS <br />PROGRAM COORDINATORS <br />Carl Borgman, REHS <br />Mike Huggins, REHS, RDI <br />Margaret Lagorio, REHS <br />Robert McClellon, REHS <br />Jeff Carruesco, REHS, RDI <br />Kasey Foley, REHS <br />The San Joaquin County Environmental Health Department has been informed that you <br />are the new owner or operator of the underground storage tanks (UST's) at the above- <br />mentioned facility. Please complete the following items by 12/13/07: <br />1. Underground Storage Tanks — Facility Form — Provide all current information, <br />sign and date at the bottom. <br />2. Underground Storage Tanks — Tank Forms — Provide all current information, sign <br />and date the bottom of each form. <br />3. Certification of Financial Responsibility/Letter from Chief Financial Officer: <br />Complete the form(s) provided, and make a copy for our records. This document <br />is required to be submitted to this office annually. <br />4. Underground Storage Tank Monitoring and Response Plans: Complete and <br />submit a copy. Indicate in Section IX of the Monitoring Plan the type of overfill <br />prevention present for each tank. Refer to the enclosed LG 150-2 letter. Retain <br />the originals onsite for future reference by employees. <br />5. Report #5021: Update all information for all programs at this site including the <br />UST and Hazardous Waste programs, sign and date. Bring with all other forms to <br />our accounting office to pay for transfer fees and the $98/hr UST Consulting fee, <br />if necessary. <br />6. If you are the owner, you must submit a notification form identifying the <br />"Designated UST Operator" for each facility owned. A notification form is <br />enclosed for your use. <br />7. Go to: http•//www.waterboards.ca. og v/cwphome/ust/regglatory/index.html to <br />obtain the current statutes (Underground Storage of Hazardous Substances) and <br />UST Regulations that you are required to have for your monitoring and response <br />plan. <br />
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