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SAN JOIN COUNTY PUBLIC HEALTHRVICES <br /> P O Box 388 W SToc:x-roN, CA 95201-0388 • PHo (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 /> ENVMONWNTAL it ALTH <br /> rCpSR,±ATI.Wz ='EhIy jFLRC C * STC-RGFE TAD: FACILITY <br /> Tank Tar+: Pe mit ANJUal PePMit Fee Valid <br /> P/E Number Record IB Number Capacity Conteiits Permit Status Frow 7o <br /> '' 0 002 - 1?7G�} s GGS 1,GG+ Diesel 01 Ccni:tional Permit 41!(!1137 1'41/97 <br /> PERMIT CONDITIONSi <br /> 1:} The PERMIT TO TERATE will becomia void if AN-MQ- PERMIT Fps and 'S'ERVICE Fres are not paid aid/or thle ai.T sysieu(s:� fails <br /> to remain in coyplia;ice with tale PtRMIT CONDITIONS. <br /> 23 Itie PERT I I TO OPERATE is granted to the TWMIE'R whoaccepts resptinsibility for operating and monitoring +ire I1ST st ark <br /> according to Siate DumdErarr_,und storage tank laws and regulations as well as any Conditions establishes by Syr, Joaquin Dxrty- <br /> 3) The TAW TERATGR(S), if different. from the tank owner, shall operate and monitor the IST system according to the ifRITTEN <br /> OPERATI G AGPEEK-1117 reijuir� under Section 25293, Chapter F 7; 'Division 2111. California Health and Safety ('-ode. <br /> 4) T`r TANK O474ER shall notify the Envir-onFfer,tal Health Division, of any proposed change in irperation cw ownership c,f t•F� i�T <br /> system. <br /> St i.�pon awry change in equipmeiit, design or oF,erat•ion of this facility, the PEFhili TO OPERATE will br reviewed by the <br /> En-virorzental Health Division. <br /> 6) A ,onstruction c7 pezi,nva± permit is require+: from the EnvirorFrlental health Division prior to ar,;r Pewoval or <br /> change of UST system equipxlent. <br /> 7) This PERMIT TO OPERATE shall not to considered perF115sion to viUlate any r.�i5tirr3 lwis, ordinances or statutes of other <br /> f[-feral, state or local a0enir$5. <br /> $) A 'CorKiltional Permit" may he revc ed it corrections are ni:t coF�-�irtrd by t le date specified on inspection. <br /> PERMIT TO OPERATE an IST FAC:_`LlT`I issued to; PAC:'I F I t: BELI. ENV I P110 MENTAL_ I•MC�T <br /> po Bi.-j1 JS 6: ;;=;I3S. r4 ';"fARC=0N I ,I�M B <br /> PERMITS TO OPERATE: za'r id 1INWAL E'EF'M I T FEE PAYMENTS are NOT -rRAIN,FERABLE" <br /> clue iF:=4y Ftln`=fig KELD j'C,r c au5e . <br /> I F iV 3T D I S *Sp I C-i i4iaV T"��= E-I� S <br /> REMLATED FACILITY: PAC.T F,[CC=z L :Account 1D; (k%13S54 <br /> 7 • ELM ST Facility ID; 003953 <br /> FRENCH D-_:AMP , r:A Permit Printed! 03/2S!97 <br /> BILLING ADDRHK 11 F,ArIFJC BELL <br />