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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> P O Box 388 • SroCKTON, CA 95201-1388 • PHONE (209) 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 /> ENVIRONMENTAL HEALTH <br /> t3F'El+'ATING PERMIT FOR U14DERRIDAL {} STORAGE TAW FACILITY <br /> Tank Tank Permit Annual Permit Fee Va3id <br /> PIE Number Record IDNumber Capacity Contents Permit Status Frcq. To _ <br /> 2'A 001 TA1 1 OOA— 6f-0 tIf Unleaded 01 Active Permit e•1 ;i,. 12 31.;5 <br /> 2380 002 TA108602 004601 10,000 Unleaded Ol Active Permit 01/01/96 12/:}1/55 <br /> _'380 003 T41W3 004602 101000 Unleaded 01 Active Peryit 01/01/95 121.11/95 <br /> PERMIT CONDITIONS; <br /> i) The FEFNIT TO OPERATE wili become void if ANNUAL PERMIT Fees and SERVICE Fees are no' paid and/or the t 5T system(s) fails <br /> to remain in compliance with he PERMIT Ca-ADQTIONS, <br /> 2) The PERMIT TO OPERATE is grant-ed to the TANK OWNER who accepts responsibility for operating and monitoring 'tie UST system <br /> according to State underground storage tan!: laws and regulations as well as any conditions established by San Joaquin Count) <br /> 3) The TANK CPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING AGREEMENT required under Section 25293, Chapter 6.7, Division 20, California Health and Safety Cade. <br /> 4) The TW'r- OWNER shall notify the Environmental tlealth Division of any Proposed change in operation or cmrnership of the UST <br /> system. <br /> 5) Upon any change in equipment, design or operation of this facility, tie PERMIT TO OPERATE. will be reviewed by the <br /> Environmental Health Division. <br /> 6) A construction or removal permit is required frara the Environmental Health Division Prior to any removal or <br /> change of UST system equipmen.. <br /> 7) This PERMIT TO OPERATE shall 1kt. be considered permission to violate any existing laws, ordinances or statutes of Other <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an LST FACI_ITY issued too, CALIFORNIA FUEL= <br /> 3005 NAVY Dom: <br /> STOC ,70N, CA 95203 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause . <br /> THIS FORM MIDST BE i3ISPLAYED Ci NSP'ICUOUSLY ON THE PREMISES <br /> REGULATED FACILITY: CALIFORNIA FUEL'S Account 10i 01103:=:s <br /> 3147 S EL DORADO Facility ID: 003754 <br /> STOCKTON, CA 35'21 6 Permit Printed, 08/11/9.5 <br /> BILLING ADDRESS. <br /> CALIF iRNIA Fl!EL=, <br /> ATTN : CALIFORNIA FUELS' <br /> PO BOX 1207 <br /> STOCK.TON , CA 95201 <br />