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SAN JOA COUNTY PUBLIC HEALTH c• VICES
<br /> ,. P O Box 388 STocKmN, CA 95201-0388 • PHoNE _J9) 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 /> ENVIRONMENTAL HEALTH
<br /> 4NMA a I a PF"T T FG-rx Vt Z_Ei i RNA 8IPDA_ - f--aAc v_1 i y
<br /> T„?)1 Tai'li: Pepmi t Annual N"emi t. Fee Val ifs
<br /> ___.�.r---__-- ---_---_��I .______--•-- , ��P E %mber RCO,J InNumber capacity C_nt�nts °°ri : � Fror-
<br /> 2160 004 TkUr141 007433 12,GW Unleaded 62 tami iorta_permit
<br /> _
<br /> 021,10F/97 '.2i'.)I/'97
<br /> 236k) �xiFTACO 0074: h,+dk? O'? r0mit•ional permit 12!=:1/;7
<br /> ",ia! 006 - TA503,270 007440 6,tci(l lkleaded 02) Conditional Permit 02!061 12i iiia?
<br /> PERMIT COND I T I t_INS' ; _
<br /> ?; ?i,e PFRMIT TO OPERATE wit! h rome void if AN* PERMIT Fees and SER`,'lyt Fla are f,rt pais ar.—Ior the Cj;T c.VSt. ^114 t�.i15
<br /> t-:- remain in C r,!-ol iante with the PERMIT C:XITIONS.
<br /> [,i Th;, PER IT M Ct EP,,iiTt 15 grar�t•ed to tree TANK C�tWUR whc, accents f-eq-ponsibilit-i for !parating and iiHJfiitllfii?� the UST 5y5teTi
<br /> aCCordina to State urplergfAnd storage tank laws ay-rd re+gulatlans as well a5 any Conditions established by San �oacmin C+7iltity.
<br /> _.
<br /> T he TANIK OPERATO if Different from the task +y4ner; shall eperat° and Fie,iWr th- T.T System'-AC(Cm to t*e ':,tF:1 94
<br /> r �r { �-� ^ F it r_ r
<br /> OPERATING NAYEE:ZNT rev,iro under Sprt•i�?n ts?c93: Chaptzr �. 1; MviSi �n 20, Cal;.rrni.'y N`_,a:�h and afeiv 01de.
<br /> ,-k) TNte TANK( G`;rt�ER _kali ftot•ify Er”. Health Divis4n;i 4i and rjoposed CriavpDe iil open iVll of ownership of the t?ST
<br /> 5) Spon an" rh�r-nge it cquilpment: de5i^n or �'p£i-ati?n ref this farilih, the PEF'N,IT TO CiPEF:A E Skil' be reviewed by the
<br /> Environmental Heaijh riri�i^rt
<br /> kt1 A CCinstrUrti4n 4P re�N_,'r'al peri!!1t IS Pre aired frim the Envir.orttr!ertal Health DivisiGii r•rior to any 'tir_'ra rt7
<br /> change of iy7 ca5teiit ewiprteitt. -
<br /> 7} Tra,t ptRitIT TO FF°ERATE Shall it=,t to Considered F*pr�is5ion t v4oiate an, existing laws, o-dinianCes or st•at•tute- f,f r,t.NICP
<br /> federal, state or agencies.
<br /> 8 A °C•ondltioiial maw he •e.'rk—no is Loo—ectiops are not if-mP'seted by th* dateisi specified on inspection.
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<br /> r''<RMTT Tfl ,PERAtt a-t LIST FACILITY issue; t.r{; D 1 F:.. -1 R Ar._:'{ G i.-:; Gi i={it_tr
<br /> x.4'.2,0 ,ni_GRAN'';._T N\NE i`D
<br /> . := =E: � +iET=EI'4T � vn • } � ; N
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<br /> ie,-ial t,�._ �_:)._� 'Fh.l1! Y f17' P.�:.Vf rC•., •�j +,-, ` r ,aLis E-
<br /> T M I S NF=OR4 MUS,'T PE D I SPLAN'EO C<GrCP T C )Si Y OMTE PREM I SES
<br /> RECD+LATFn FACILITY, L)D::*. Tr_,PE •t• G()c; 4., i C;�ii)W Accouii . ! (A0135?r
<br /> '-R,, ,JT 1._1?4E F;D Farilit.v ;01 1)0?`=F�
<br /> ia'tC'`:1 iS_7i= F'ePi;tit f i ?1tEd: .2111/Ct'
<br /> !ori' t f it L)
<br /> ;TTN'?; T1 ATC=R DVIN1,
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