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SAN JOAQI COUNTY PUBLIC HEALTH SVICES <br /> 1 P O BOX 388 • TocKToN, CA 95201-0358 • PHONE ) 465-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> TLi P I5 ' E�.�IT Et I,,�NOEMs�r'r��':D STf �F EA{ .I�IT'� <br /> Annual Permit Fee Valid <br /> Tarn Tank PermitFrom _ To <br /> Number Record ID Fs:mber Capacity Contents Permit Status _ 01/01/37 12131/37 <br /> ?380 Clad TA163104 0041d1 12,000 Unleaded 01 Active Permit. 01101/37 12131/37 <br /> 2320 005 TA163105 004142 10,000 Unleaded <br /> 2330 0M TAI53105 8 O Unleaded 01 Active Permit 01/010 12/01/37 <br /> PERMIT CONDITIONS! <br /> 1) Tte PERMIT TO OP'tRATE will become void if At& PERMIT Fees and SERVICE Fees are not Paid and/or the UST system{sj fails <br /> to remain in compliance with the PERMIT C1'4iMIMS. <br /> 2j The PERMIT TO OPERATE is granted <br /> to the TAKK OWNER who accepts resPonstbility for" operating and rtenit.ori g the VST system <br /> according to State undergrolurtd storage tank lams and regulations as well as any conditions established by San iclawin County. <br /> 3% The Tk%, OFERATO"n{Sj, if different frons the tank owner, shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING AGREEMENT required under Section .'5293, Chapter 5.7, Division 20, California Health and Safety Code. <br /> dj The TAtib. aWNER shall notify the Environmental Health Division of any proposed change ;n operation or crwnershiP of the VST <br /> system. <br /> 5j tpon any charge in equipment., d?siga or operation of this facility, the PERMIT TD 3°ERATE will be reviewed by the <br /> Environ ental Health Division. s <br /> 61 A construction or removal Permit is required from the Environmental Health Di'visioli prior to any reinvai or <br /> change of UST system equipment. <br /> 7) This PERMIT TO OPERATE shall not be considered permission to violate any existing laws, oedlnances r_r statutes of other <br /> federal, state or local agencies. <br /> } <br /> PERMIT TO OPERATE an• UST FACILITY issued to: TIME OIL CO <br /> PO BOX 24447 <br /> SEATTLE, WA 98124 <br /> PERMITS TO OPERATE anal ANNN 11A1_ PERMIT FEE PAYMENT'::. are NOT TRAN'3FERABLE <br /> a":,d may t,e SUSPENDED or REVOKED for rause . <br /> }; * # } <br /> THr I Fal y N ST BE DISPLAYED C-94S 'Ia OX; CY &]hi THE �itEM'S£S <br /> d: A 4: # <br /> REGULATED FACILITY; 3AC:1 t'=1 T FFi,jD i:A4?T Account IO, 09OCK130 <br /> "1 000 E HWY IS Facility ID. 000031 <br /> [i'jC'k':EFC tF',D , CA =_ _ 7 Permit Printed, 03IN/37 <br /> BILLING ADORES:: ,TAC ::Poi F FC10D MART <br /> PO BOX 24447 TERMINAL ST <br /> :'SEATTLE; WA 981 :,4-2447 <br />