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COMPLIANCE INFO_1985-2007
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR0231547
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COMPLIANCE INFO_1985-2007
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Last modified
3/8/2023 2:12:37 PM
Creation date
6/23/2020 6:49:46 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
1985-2007
RECORD_ID
PR0231547
PE
2361
FACILITY_ID
FA0003848
FACILITY_NAME
Verizon Business: KINGCA
STREET_NUMBER
13850
Direction
N
STREET_NAME
DE VRIES
STREET_TYPE
RD
City
LODI
Zip
95240
APN
05524018
CURRENT_STATUS
01
SITE_LOCATION
13850 N DE VRIES RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\UST\UST_2361_PR0231547_13850 N DE VRIES_1985-2007.tif
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EHD - Public
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n <br /> � .} <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.Weber Ave.,Third Floor• Stockton,CA 95202-2708 • Phone(209)468-3420 <br /> ti <br /> Donna Heran, R.E.H.S.,Director' <br /> 3 <br /> i <br /> FNM, 1 MENTALL HF. .T�i <br /> SAN JOAQM COUNTY CERTIFIED UNIFIED PROGRAM..AGIENCY <br /> PERMIT TO OPERATE <br /> Program Permit Permit <br /> Record ID Number Program Code and Description Valid <br /> PR0231547 2300-UNDERGROUND STORAGE TANK FACILITY' •"1/172006 To 12/31/2006 <br /> Underground Storage Tank Program: h, z <br /> ' California Health and Safety Code,Div.20;_Chap 6.7 and Title 23 California Code of Regulations Chap 1B <br /> P/E Tank# Tank Record ID Permit# Capacity Contents Permit Status System Type Leak Detection <br /> 2362 1 390002315470154701 PT0005160 550 DIESEL Active,billable' DOUBLE WALLED Continuous Interstitial Monitoring <br /> Underground Storage Tank Permit Conditions <br /> f)'',The Permit to Operate will become void if Annual Permit Fees and Service Fees are not paid and/or the UST system(s)fails to remain in Compliance with these Permit Conditions <br /> 2) In order to maintain the operating permit,the owner and operator shall comply with the H&S Code,Div.20,Chap.6.7 and 6.75;and CCR;Tide 23,Chap.Wand 18,as well as any conditions <br /> established by San Joaquin County. <br /> 3) If the Tank Operator(s)is different from the Tank Owner,or if the Permitto Operate is issued to a person other than the owner or operator of the tank,the Permittee shall ensure that both <br /> theTank Owner and tank Operator receive a copy of the permit. <br /> 4) -Written Monitoring Procedures and an Emergency Response Plan must be approved by the Eavironmental Nealth`Department(END)and are considererdUST Permit Conditions The approved <br /> monitoring,response,and plot plans shall be maintained onsite with the permit. ' <br /> S). .;The Permittee shall comply with the monitoring procedures referenced in this permit' <br /> 6) 'The Permittee shall perform testing and preventive maintenance on all leak detection monitoring equipment ahmvally,'or mora frequently if apec fled by the equipment manufacturer,and x <br /> provide documentation of such servicing to this office. <br /> :-7) Irl the event of a spill,leak,or other unauthorized release,the Perimitee shall comply with the requirements of Title 23 CCH Chap.•16,Art.5,acrd the approved.Emergency Response Plan. ` <br /> z <br /> $) Written records of all monitoring performed shall be maintained on-site by the operator and be available for inspection for a period of at least three years from the date the monitoring was. w <br /> i performed. <br /> -9) ',..The EHD shall be notified of any change in ownership or operation of the UST system within 30 days of such change: ? ', <br /> Upon any change in eggipment,design or operation of the UST system(including change in tank contents or usage),the Permit to Operate will be subject<tc+rev{CW; of <br /> revocation.' s <br /> 1•I) Oonstruction,repair and/or removal permits are required from the EHD prior 4o any change,repair or removal of UST system equipment. '{ <br /> g: <br /> A tic Pemrittee shall submit an annual report documenting compliance with the UST Permit Conditions within 30 days of-the' Df date of the issuance tiffs perinit.` ` <br /> a3} 'Thia'Per*t t@'1lperSte shall not be considered permission to violate any laws,ordinances or statutes of any other Federal,State or Local agency: 4•, <br /> 16) A" rtk"Wa Permit may be revoked if corrections specified on the inspection report are not completed by the date(s) indicated. <br /> f <br /> ` PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PEI11 'Sj Valid cfnly for::., MCI WORLDCOM <br /> Dq . MGIT(BUTTER) -PRIMARY x <br /> ,Tank Owner: MCI <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON-Tlllil�PREMI�IFwS <br /> Regulated FttciNQt MCI i 4pility IDFA0003848, <br /> 13850 N DE VRO RD Account ID'AR0003436 <br /> .9524 Issued 2/3/2006 a ? <br /> Billing Address: ATTN :' TODD 'B RhS <br /> MCI <br /> 2400 N GLENVILLE DR, <br /> RICHARDSON TK '7OI32 R <br /> ,>b23.tpt <br />
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