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SAN JOAr`TIN COUNTY PUBLIC HEALTH r 'RVICES <br /> P O Box 388 `Iw, Rroc icTox, CA 95201-0388 • PH04`009) 468-3420 <br /> ERNEST M. FUIIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVMONMENTAL HEALTH <br /> t ATIWo PERMIT FOR Vh1D2R€is+'k�i kEti =ms'ss�'se�kC�. FACILITY <br /> Tank Taub: Permit Annual Permit Fee Valid <br /> PIE Number _ Record ID tomer Capacity Contents Permit Status From To <br /> 2300 001 TA109SOI 004057 10,000 Unleaded 01 Active Permit 01101/96 12/31/96 <br /> ;380 002 TA109502 004058 10,000 Unleaded 01 Active Permit 01/01/95 12/31/96" <br /> PERMIT CONDITION;; <br /> 1) The PERMIT TO OPERATE will become void if ANNUAL PERMIT 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 TANK CSR 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 can Joaquin Comty. <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 AGREEMENT required wider Section 25293, Chapter 6.7, Division 20, California Health and Safety Code. <br /> 4) The TANK W0 shall notify the Environmental Health Division of any proposed change in operation or ownership of the UST <br /> system. <br /> S) 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 /> A construction or removal permit is requii2d from the Environmental Health Division prior to any removal 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 local agencies. <br /> FERMI' TO OPEBATE an LrST FACILITY issued to: ELLIS, ROBERT A .TR <br /> 3105 S E! DORADO SIT <br /> STOCK:TON, CA 95206 <br /> PERMIT'_ TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> THIS: FOM T WE DISPLAYED CU4SPICUURl5LY ON THE PREMISES <br /> REGULATED FACILITY; CALIFORNIA TANK: LINES INC: Account ID; 000:3258 <br /> 3105 S E`:._ DORADO ST Facility 10: 003680 <br /> STOCKTON, CA 95206 Permit Printed, OS/O2/9G <br /> BILLING ADDRE S: <br /> CALIFORNIA TANK: LINES INC <br /> ATTN; ROBERT ELLI'S TR <br /> PO BOX 6245 <br /> STOCKJON, CA 95206 <br />