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COMPLIANCE INFO_1985-2007
Environmental Health - Public
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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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SAN JOAqW COUNTY PUBLIC HEALTH VICES <br />P O Box 388 TocxTON, CA 95201-0388 • PHONE ) 468-3420 <br />ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br />DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br />ENVIRONMENTAL HEALTH <br />si11�: 11��� �11 1Mfti` d j'! MMIC � L1Y '"• — 4 <br />Tank Tank Permit Annual Permit Fee Valid <br />P/E tomer Record 10 lir Capacity Contents Permit Status From TO <br />30 001 TAIS4701 Ofi 160 S54 Unleaded 01 Active Permit 01/01/97 12/31/97 <br />PERMIT CONDITIONS: <br />1) The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SERVICE Fees are not paid and/ter the LIST system(s) fails <br />to remain in compliance with the PERMIT CONDITIONS. <br />2) The PERMIT TO OPERATE is granted to the TAW OWNER who accepts responsibility for operating and monitoring the UST system <br />according to State underground storage tank laws and regulations as well as any conditions established by San Joaquin County. <br />3) The TAW OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br />OPERATING AGREEMENT required under Section 25293, Chapter 6.7, Division 20, California Health and Safety Code. <br />4) The TANK NO shall notify the Environmental Heald•/ Division of any proposed change in operation or ownership of the UST <br />system. <br />5) Upon any change in equipment, design or operation of this facility, tie PERMIT TO OPERATE will be reviewed by the <br />Environmental Health Division. <br />6) A construction or removal permit is required from the Environmental Health Division prior to any removal or <br />change of UST system equipment. <br />7) This PERMIT TO OPERATE shall not be considered Permission to violate any existing laws, ordinances or statutes of otter <br />federal, state or local agencies. <br />PERMIT TO OPERATE an UST FACILITY issued to, MCI <br />PO BOX 1:3so <br />ELVERTA , CA 96626 <br />PERMIT'S TO OPERATE and ANNt.1AL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />THIS FUM WJ9T BE D11 C0MW1CWJSLY ON THEPREMISES- <br />REGULATED FACILITY: MCI CORPORAT I ON <br />S3SO N DEWRIES RD <br />L.ODI , CA 9S240 <br />BILLING MESS: MCI CORPORATION <br />28:0 KOVR DR <br />WEST SACRAMENTO, CA 9S605 <br />Account ID: 0003436 <br />Facility IN 003848 <br />Permit Printed: 03/28/97 <br />0 <br />
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