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SAN Je"JUIN COUNTY PUBLIC HEALTA "ERVICES <br /> P O BOX 38'1 WocicroN, CA 95201-0388 • PJIG , (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 /> OPERATING PERMIT FOR UNDEliOf,'OKNO ST9RAGE TANK FACILITY <br /> Tank Tank Fermat Annual Permit Fee Valid <br /> P/E Number Record ID Number Caracity Ccntents Permit Status From To <br /> 2 0 002 TA171702 OOd938 10,000 Unleaded Ot Active Permit 0110119-5 12i3119; <br /> 2350 003 TA171703 00493`? 51000 Unleaded 01 Active Permit 011O1i95 127? tA5 <br /> PERMIT CONDITIONS; <br /> 1) Tne PERMIT TO OPERATE will become void if ANNUA1 PERMIT Fees and SERVICE Fees are not paid and/or the U T systee(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TANK NNER who accepts responsibility for operating and monivoring tjle UST system <br /> according to State underground storage tank laws and rEgulations as well as any conditions established by San Joaquin Cr mty. <br /> 3) The TANK OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING AMEEKENI required under Section 25293, Chapter E.7, Division 20, California Health and Safety Code. <br /> 4) The TANK. OWNER shall notify the Environmental Health Division of any proposed change in operation or ownership of the UST <br /> system. <br /> 5) Upon any charms in ec[;ipment., design or operation of this facility, the PERMIT TO OVERATE will be reviewed by the <br /> Environmental Health Division. <br /> 5) A construction or removal permit is required frcm the Environmental Health Division prior to any reaoyal or <br /> change of UST system equipment. <br /> 7) This PERMIT TO OPERATE shall not be considered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or iota) agencies. II <br /> f <br /> PERMIT TO OPERATE an UST FACILITY issued to; C:ALTFORNTA MILITARY DEPT (CA' E f{ <br /> PO BOX 21440S <br /> SACRAMENTO, C:A 9SS21 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause . <br /> v # 9 a a <br /> THIS FORM MA)BT BE OISPLAYED C004SPICUOUSILY ON THE PREMISES <br /> REGULATED FACILITY; OMS #24 STATE MILITARY DEFT AccountlD; 0003401' <br /> 010/8020 S AIRPORT Facility ID; <br /> STOCK:TON, CA 95290 Permit Printed! C)!;,/I I/9-S <br /> BILLIt3 ADDRESS, <br /> OMS #ere STATE MILITARY DEPT <br /> ATTN : ::TATE MILITARY DEPT <br /> FYI BOX 2109101 <br /> �_;ACRAMENTC, . CA 9ES26-9101 <br />