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SAN JOAf)UIN COUNTY PUBLIC HEALTH ^ERVICES <br /> P O Box 3854 j SI'OCKTON, CA 95201-0388 • PHOI..e(209) 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA HERRN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> EPERATING PERMIT FOR UNDERGR'UUND STORAGE TANK FACILITY <br /> Tank. Tank Permit Annual Permit Fee Valid <br /> PIE Number Record I6 ty Contents Permit Status From To <br /> 23160 d2. ClnTaded .— 01 Active Permit--T96945'--127Tf7zF,- <br /> 2360 M TAIOM' 004258 10,M) 'dnieas ,w.- 01 Active Permit 01?01/95 12/31/95 <br /> L-L60 (X17 TA103907 004259 10,000 Unleaded Q�wy 01 Active Permit 01/0165 12/31/95 <br /> 2360 Ns TA1039M 004260 11OCA) �,� , 01 Active Permit 01/01/95 12/31/95 <br /> PERMIT CONDITIONS ; <br /> 1) The PERMIT TD OPERATE will become void if ANliAL PERMIT Fees and SERVICE Fees are rat paid and/or the LIST system(s) fails <br /> to remain in compliance with the PERMIT UMITIONS. <br /> 2) Tt1e PERMIT TO OPERATE is granted to the 14M. 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 /> D Re TANK OPERATOR(S), ii different from the tank ,owner, shall operate and monitor the UST system according to the MITTEN <br /> OPERATING AGREEMENT rewired under Section 25293, Chapter 6.7, Division 20, California Health and Safety Code. <br /> 4) The TP4( OWNER shall notify the Environmental Health Division of any proposed change in operation or ownership of the UST <br /> system. <br /> 6) Upon any change in equipment, design or operation of this facility, the PERMIT TO OPERATE mill to reviewed by tle <br /> Environmental Health Division. <br /> 6.1 A construction or removal permit is required from tta Envirormental Health Division prior to any removal or <br /> change of UST system equipment. <br /> 7.1 This PERMIT TO OPERATE shall not be considered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> + # # 4E ?k <br /> PERMIT TO OPERATE an LIST FACILITY issued to; CHEVRON USA <br /> PO SOX 5004 <br /> SAN RAMON, CA 94-SS" <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENT'S are NOT TRANSFERABLE <br /> and may be 'SUSPENDED or REVOKED for cause . <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> RENLATED FACILITY; RONS CHEVRON #90557 Account 'AM 0008424 <br /> 139 S CENTER 'ST Facility ID: 0064:37 <br /> STOCK:TON, CA 95202 Permit Printed, 05./11 /95 <br /> BILLING ADDRESS: <br /> CHEVRON USA <br /> ATTN : K:ATiY NORRIS/PERMIT DESK: <br /> PO BOX 5004 <br /> SAN RAMON, CA 94.58 <br /> �e/ 1.001 <br />