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SAN JWQUIN COUNTY PUBLIC HEALIM SERVICES <br /> P O Box • STOCKTON, CA 95201-0358 • pAW4E (209) <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFF146 R�20 <br /> DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> STING PERMIT FOR Ed?t Gs 7? 94jgr . <br /> t. ;kPiK FACILITY <br /> Tark Tank Permit <br /> P/E amber Record Id thmber C% aciiy contents permit Annual Permit Fee Valid <br /> 238Q Q�j2 TA5Q9 — t.:.,us lo <br /> From <br /> Diose f , dive :`errmi, t; jFri 11q— <br /> PERMIT CONDITIONS : <br /> 11 Tre PERMN TO OPERATE will become void if ANWAL PEF611T Fees and SERVICE Fees are not 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 O[WWER who accepts responsibility for operating and monitorin the UST system <br /> according to State unde;ar,Jnd storage tad laws and regulations as well as any conditions established by Ian Joaquin County. <br /> 30 The TAS oPERATuORCSj, if different from the tank owner, shall operate and manitar the UST system according to ttm WRITTEN <br /> OPERATING AGREEhEiT required under action 25233, Chapter 6.% Division 20, California Health and Safety Code. <br /> 4) The TANK OWNER shall notify the Environmental Health Division of any <br /> system. proposed change in Operation or ownership of the t>.T <br /> @ Upon any change in equipment, 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 required from the Environmental Health Division prior to any removal or <br /> change of UST system equipment.. <br /> %) 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 /> PERMIT TO OPERATE an UST FACILITY issued to; U S TELECOM <br /> 1 07 CORONADO <br /> :TC TON, CA 9r—nA <br /> PERMIT;_ TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause . <br /> TEdI: FORM MUST BE [?IS�L�yED C&,MPICL"jSLY C" T.Ap <br /> PREMISES <br /> � Y <br /> RE61NATED FACILITY; U S TELECOM <br /> :07 CORONADO Account IO; i iJp34<;r, <br /> STOCk`:TON, CA 95,20 4 Facility ID; <br /> Permit Printed; (1,2/11 <br /> BILLING ADDRESS; <br /> U S TELECOM <br /> ATTN ; U S, TELECOM <br /> 3807 CORONADO <br /> '=TOCKTON• CA 9S204 <br />