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Ik SAN JUIN COUNTY ZMBOIL-0188 <br /> HEALT ERVICES <br /> P O Box 3 O b'a�c►CKTO CA • P (209) 4118-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA HERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVMOI'NMIENTAL HEALTH <br /> STING PERMIT FOR UMERGRO-IND STAGE TANK ACrIt-ITY <br /> Tagg' <br /> Task Pera1it Annual Permit Fee Valid <br /> P/E t4umbEr Record IG Number Capacity Contents Permit. -atus Fray, To <br /> 2330 002 T4187002 006636 2,000 Diesel 02 Co tional Permit 011101/9.5 1121:31/9S <br /> PERMIT CONDITIiiNSi <br /> I) The PETMIT TO OPERATE Will become void if AWAL PERMIT Fees and :S ICE Fees are not paid andior the I.9ST system(s) fain <br /> to remain in compliance with the PERMIT C94DITIORS). <br /> 2) The PERMIT TO OPERATE is granted to the TAW OWER who accepts sponsibility for t�2ratirlg ailed winit.orir�g the UST system <br /> accordir to State underground storage tank laws and regulat.i� as well as any conditions established by San Joaquin County. <br /> 3) The TANK OPERATOR(S), if different from the tank owner, sha 'operate and monitor the, UST system according to the 'A;'ITTEN <br /> OPERATING AGREEMENT required under Section 2S293, Chapter _7, Division 20, California Health and Safety Code. <br /> 4) The TAW OWER shall notify the Envirorwiental Health Div*sion of Any proposed change in enation or ownership of t4he 'tIS <br /> system. <br /> S) Won any "hange in equipment, design Or operation of :his facility, then PERMIT TO OPERATE will be reviewed by the <br /> Environmental Health Division. <br /> 6) A construction or reKNal permit i5 required fPC_de .he Environmental Health Division prier to any removal or <br /> change of UST system equipment. <br /> 7) This PERMIT TO OPERATE shall ryot to considers Permission to violate any existing laws, ordinances or statutes of otter <br /> federal, State or local agencies. <br /> 8) A 'Conditional Permit" may be revoked if c erections are not crapleted by the date(s) specified on inspection. <br /> PERMIT TCPRATE an ST FACILITY i ed to; PACIFIC:I C: BELtENVIRONMENTAL FONMENTAL P#CTC - <br /> ;P;Az:RaMENT0, C:A 9 S8S I <br /> PERMITS, TO OPERA and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> a ri)ay be SU4_�F'ENDED or REVOKED for cause. <br /> TP eS F MUST BE 01<t3pLAyFn_ Cry-PICUOU SLY ON THE PREMISES <br /> ? + + : <br /> REGO_ATED FACILITY; F'riC:IFI':: BELL <br /> r Account ID: o00`3564 564 <br /> % O ,1 �r 771 7 fin ; , <br /> _ . ._ . Facility lO �= =%-4 <br /> 1o� / .e-:'7/9S <br /> , /SC <br /> BILLINS 40DRESSt V <br /> PAC:I F I C: BELL <br /> -TTN: F'E:RM I T DESK <br /> PO BOX Iiia=,_;t�°�ettC, tJATT MME #4 <br /> =;AF4Ahtf�r4lTi G; B;�;S t <br />