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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> P O Box 388 • SrocKToN, CA 95201-0388 a PHONE (209) 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 /> Q*SMTI"G PERMIT FM 1UNDERERMW STURAW TAW.' FACILITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> PIE Number Record 10 Number Capacity Contents Permit Status From To <br /> 2"oO 001 TA104301 004646 8,000 Unleaded 01 Active Permit 01/01/97 12/31/97 <br /> 23K 002 TA104902 404648 81000 Leaded 01 Active Permit 01/01!97 12/31/97 <br /> 2380 003 TA104903 004650 81000 Unleaded Ot Active Permit 01101/97 12/31/97 <br /> PERMIT CONDITIONS : <br /> 1) The PERMIT TO OPERATE will become void if ANNUAL PERUT Fees and SERVICE Fees are aot paid and/or the UST 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 TANK OPERATOR(S), if different from the tank owner, shall operate and noritor the UST system according to the WRITTEN <br /> (MATING AGREEMENT required under Section 25293, Chapter 6.7, Division 20, California Healtt.., and Safety Code. <br /> 4) It* TAMC OM shall notify the Environmental Health Division of any Proposed change it operation or ownership of the UST <br /> system. <br /> 5) Upon any change in equipment., design or operation of this facility, the PERMIT TO (FERRATE 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 /> charm of UST system equipment. <br /> 71) This PERMIT TO OPERATE shall not be considered permission to violate any existing laws, ordinances or statutes of other <br /> f&Jcral, state or local agencies. <br /> PERMIT TO OPERATE an UST FACILITY issued to; _:HELL OIL COMPANY INC <br /> PO BOY. 4022 <br /> CONCORD, CA 94524 <br /> P'ERMIT'S TO OPERATE and ANNUAL PERMIT FEE PAYMENT'S are NOT TRANSFERABLE <br /> and may be SUSPENDED r REVOKED far cause . <br /> THIS FORM "LIST BE DISPLAYED LL*1SPI(XliK1Q-)f ON THE PREMISES <br /> REGULATED FACILITY: SHELL OIL. CC iMPA JY# Account ID: 0003344 <br /> 1313 E CHARTER WY Facility 14. 003765 <br /> STOCI TON , CA 95205 Permit Printed! 03128/97 <br /> BILLING ADORESS; SHELL OIL CO INC <br /> ATTN: HSbE ADMIN SUPPORT/.JOHN VOCH <br /> 1::90 WILLOW PAS=; RD ST 900 <br /> CONCORD. CA 94524 <br />