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SAN JOt — TJIN COUNTY PUBLIC HEALTH'" ',VICES <br />304 E. WEBER AVE., i HIRD FLOOR • STOCKTON, CA 95202 • PHONE (209) 468-3420 <br />KAREN FURST, M.D., M.P.H., HEALTH OFFICER <br />DONNA HERRN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br />ENVIRONMENTAL HEALTH <br />JR4- ..RAT1 1% .. IT FOR STORAGE. Tim'O' i;_'&C I: L.2. T Y <br />T=;}.: TanP PeTmit Annual Permit Fee Valid <br />NuI W- Record ID Number Capacity Contents Permit Stalws From To <br />TA101401 004753 10,000 Diesel 01 Active Permit 01/01/9$ 12/31/98 <br />PERMIT CONDITIONS! <br />I ) The PERMIT TO OPERATE Will become void if ANNUAL PERMIT Fees and SERVICE Fees ;we not. Pa -Id and/or the UST system(s) fails <br />to retrain iin compliance with the PERMIT CONDITIONS. <br />4.1 Tne PERMIT TO OPERATE is granted to the TAW OWNER who accepts responsibility for operating and monitoring the UST system <br />according to State undergrourNd storage tank` laws and regulations as well as any conditions established by Lean Joaquin, County. <br />:3) The TAW iiPERAT,iR(S), if different from the tanl owner, shall operate and monitor the UST system according 1.0 the VRITTEN <br />OPERATING AGREEMENT required under Section 25/_93, Chapter 5.7, Division 7C�, California Health and 'Safety Code. <br />rt) The TAW IV-4ER shall notify the Environl;;ental Health Division of any proposed change in operation or ownership of the (SST <br />system. <br />5) t)pon any change in eguipmeiit; design or operation of this facility, the PERMIT TO OPERATE Will be reviewed by the <br />Environmental Health Division. <br />6) A construction or removal permit is rewired from the Environruent-+l Health Division prior f.,_ any removal or <br />change of UST system equipment. <br />7) This PERMIT T!3 OPERATE shall not be considered perftusslrjn to violate any existing laws, ordinances or statutes of other <br />federal, state or 'tical agencies. <br />PERMIT T� � OPERATE an UST FACILITY issued to; T !-IY' R �_� _; <br />ROCHEL_LE <br />BAR~ ; N._T <br />7G,=: <br />F`ERM I T' <br />TO C!PERATE sti ,J <br />ANNUAL F'`F'Pj I T <br />EEE PAYMENT` <br />a-ie Pli=1T TF�AN'=:FE RABLE <br />i ii7 tfi=ty <br />Cie �;t_1:_,5'} ��L')F[; <br />i it F:t `.%!r11'.EL> <br />try-- [ L to=i_ . <br />?: <br />REGULATED FACILITY, <br />Account ID: 00('3357 <br />1624 ARMY CT <br />Facility ID: 003777 <br />-T1: N, C_A <br />9 520LS <br />Permit. <br />Printed! 03IO2/ <br />BILLING ADDRESS.. <br />TCiY:= R ta' : <br />