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SAN JOA,`JIN COUNTY PUBLIC HEALTHf -RVICES <br /> P O Box 388 L STOCKTON, CA 952014388 • PHONE--OM) 465-3420 <br /> ERNEST M. FUHMOTO, 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 LWDERGROUM STORAGE TANS: FACILITY <br /> Tam: Tari: Permit Annual Permit Fee Valid <br /> PIE Number Record ID Number Capacity Contents Permit Status From To <br /> 20 001 T4201401 005047 2.000 Unleaded 01 Active Permit 01101/95 12111 NS <br /> PERMIT CONDITIONS: <br /> 1) The PERMIT Tfj OPERATE will become void if AN IAL PERMIT Fees and SERVICE 'ees are not Paid and!or the VST system(s) fails <br /> t-o remain in compliance with the PERMIT CONDITIiNS. a <br /> 2) The PERMIT TO OPERATE is granted to the TANK: 00 who accepts resp)nsibiiity for operating and monitoring the UST system <br /> according to State underground storage tank laws and regulations as well as any conditions established by San loawin County. <br /> S) The TANK OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to tWWRITTEN <br /> OPERATING AGREEMENT required under Section 252P, Chapter 6.7, Division 20; California Health and Safety Code. <br /> 4) The TAW OJNER shall notify the Environmental Health Division of any proposed chd Ge in operation or ownership of tLx UST <br /> system. <br /> 5) UFon any change in equipment, design or operation of Vas facility, tte PERMIT TO OPERATE will be reviewed by the <br /> Environmental Health Division. <br /> 6) A construction or removal permit is required from the Envirowntal Health Division prior to any removal or <br /> change of UST system equipment. <br /> 7) This PERMIT TO CRATE shall rot to considered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an UST FACILIT`f issued to: UNIVER=:AL COMPANY <br /> :3340 TULLY RD STE B--C; <br /> MODESTO, CA 95350 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> # # # # of # <br /> THIS FOM @14W BE DISPLAYED CONSPICLO)SLY ON THE PREMISES <br /> REGLLA'ID FACILITY: UNIVER=,AL, FOREST PROD INC Account ID: 0003412 <br /> 4554 S EL DORADO Facility 10: 003824 <br /> STOC:KTON, CA 9.5 2 05 Permit Printed: 08/11.'''?5 <br /> BILLING SSS: <br /> UNIVERSAL COMPANY <br /> ATTN: UNIVERSAL FORE'nT PROD INC: <br /> TOCKTON . CA 9521::: <br /> r, <br />