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SAN JOAQMF COUNTY PUBLIC HEALTH S)CES <br />P O Box 388 emmftocKToN, 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 />qPEERATIVNS PE11MIT FLV, UNDE'RE Ok-N ? S T ORAK TANK- FACILITY <br />Tank Tarr rermit Annual Permit Fee Vali <br />i" ?um er Record I6 kml r Capacity Contents Permit Stir -us _ From Cn <br />� ::1 -. _=A �?I�4: �7r i0,ojy+ Diesel 0' Active Per+ it <br />PERMIT COVDITTON' <br />The PERMIT TO OPERATE will berome void if ANNUAL PERMIT Fees and SERVICE Fee= are not Palin an»dior the US=T system(s) tails <br />to remain in compliance with the PER11IT CONDITIONS. <br />2 2)The PERi�IT TO OPERATE is grant.ej to the TANK OWNER who accepts responsibilit:; for operating and monitoring the U''T syste�r <br />according to Mate undergroly. storage tank laws and regulations as well as any conditions established by San .?oaq,in 0xint•y. <br />The TAPS OPERATOR(S), if different fro@ the tank. owner, shall operate and monitor the IST syst-ers acc+:rdi!n to the WRITTEN <br />OPERATING AGREEMENT required un=der Section 25253, Chapter 5.7, Division 220, Califc=rnia Health and', Safety Code. <br />4) The TAW OWNER shall r�ot.ify the EnviroTw ntal Healtb Divisio=n of any proposed change in operation or ownership of the iJST <br />Srste-M . <br />5) Upon any change in eg4.eipment., design or operation of this facility, the PERMIT TO OPERATE will tt� reviewed by the <br />Environmental Health Division. <br />A construction or removal Permit. is required from the Environgiental Hea,ith' IY35IOri pricer t.= any reqt,,oval or <br />change of UST system equipment. <br />7) T}is PERMIT TO OPERATE shall not. be considered permission to violate any existing laws, ordiflances Or statlAes of other <br />federal, state or local agencies. <br />PERMIT T+! OPERATE an UST FACIL IT�Y issued to: TOYC., R !_f:_: <br />H'E - . - <br />PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMEN"fs are NOT TRANS- ERABLE <br />a,nd r;tay be 'SUSPENDED c=r REvOfc:ED t, --=r caul-. <br />TI I€ Ffls,% T BE DISPLAYED Cdr IC Y (NI TWE PRE1111SES <br />REitn A.TED FACILITY, T!_!'Y' R. tk_: <br />1624 ARMY C'T <br />_;TOSr:KTO:N, C<< <br />FILLING ADDRESS: <br />CA r-2:;1 <br />Facility ID, 77 <br />Permit Printed;?81- 1 f 34 <br />