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SAN JOA A"*.ZTI N COUNTY PUBLIC HEALTHS VICES <br /> 304 E.WEBER AvE., RD <br /> FLOOR • STOCKTON,CA 95202 • P (209) 46$-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 /> L-WSM' j'Ip" <br /> � TL � FACILITY <br /> � <br /> DE��- . <br /> Annual Permit Fee Valid <br /> Tank Tank PermitFrom TO <br /> -;t= Number Record ID Number Capacity :ori{erlt FLr ,it Status ()I10i194 1j{111`_49 <br /> '360 jfl }79 4 10,OC Reg IJniead€,d u1 Actl e Permit 01101199 12./K/ 9 <br /> 2366, 004 TA507935 ranrl� 10,0(y► Fres €!171eaded 01 Active Permit <br /> PERMIT CONDITIONS ! <br /> void if Afi �- PERMIT Fees and ��E��OiCt F%----, arp not paid, andf�_Cr the UST sYstem1s) fails <br /> 17 Trse PERMIT TO OPERATE will become <br /> to remain in compliance p=ith the PERMIT CCVDITICINS. th-e UST System <br /> Ttie PERMIT TO OFFERATE is granted to the TAMC E`ER wi'p7 aecep'jQn5 a-WwelliastanyJr opeTatirtg and conditicns estat=lmin�dfby Sar, jodcMin County. <br /> accordirlg_t•o State underground storage tank laws and re ulat.aT.monitQ the 6,T <br /> D N.1 TANK CIPERATI]RiS', if different frog, ttse�t-�r►I' car, shall operate visio-n 20, California &-altMtand aDafetvrCode t�� WRITTEN <br /> �IPERATIN{� AGREEMENT required under Section 25.-3, Chapter <br /> �; ,I E TANK ACRE shall r ={-ify the Er�irors sent•aI Health Division of any pToposed change in operation L.r ownership of the UST <br /> system. <br /> 5i I;�,n any change in equipment, design or c=perat•ic=n of this facility, the REEDIT T17 OPERATE will be reviewed by the <br /> Environaent.al Health <br /> Division-6) A e{=nstrlll:tion or rerisC-+!dl permit is required from the _l <br /> � vir0€IrtteFstal F!erilt.l I �IiVi514n pI'ibY' �� an, <br /> change of k ST system equipment.. <br /> r, I PERMIT TO OPERATE shall not be considered p�ermissue to violate any existing laws, ordinances or statutes Of r= er <br /> federal, state of local agencies. <br /> PERMIT TSE En;ATE an LIST FACILITY issued to; `-: UTHt.i-;l�D CORPORATION <br /> 3146 GI 11 D C-AM1c <br /> RANCHO C-16RDCIVA, CA -SG,7) <br /> PERMITS To OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> E <br /> c ,_ SUSPENDED REVOKED f C Ru Er . <br /> ,: # # '.11 <br /> 1' <br /> SES <br /> TSI h 3T Dl > � <br /> _ Account ID; 4C1044c2 <br /> r'iEfi;l ATED FACILITY E L.E VEfi :TEIRE I t 1 d CI i 1 _ fee i 1 icy ID-- <br /> -COUNTRY <br /> 17: (662064 <br /> ; y -:IFIUNTRY CLUB Permit Printed; 041:6199 <br /> r ;O 7THL�.aND C:i R.P`CIRHT 1 I-N <br /> BILLING ADDRES•a. <br /> ATTt4, Ar P KATHLEEN EALD!411N <br /> 1:O P;IrI �1 <br /> CALLA' <br /> TX Ts_''?i <br />