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SAN JOA TIN COUNTY PUBLIC HEALTH ' RVICES <br /> P O Box 388 .V� SrocaTON, CA 952014UM • PHONE'71009) 465-3420 <br /> ERNEST M. FUIIMOTO, 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 UNDERGROUND STORAGE TANK FACILITY <br /> TankTank rermit Annual Permit Fee Valid <br /> PIE Camber Record 10 Naber CaFaciiy Contents Permit Status F^om To <br /> 2380 INI TA150201 005.556 10,000 Unleaded 01 Active Permit 01/01/45 12/31/95 <br /> 2380 002 TA150202 00555' 10,000 Unleaded 01 Active Permit 01/01/95 12/31/95 <br /> 2380 003 TAIS6203 005558 10,000 Unleaded 0, Active Permit 01/01/95 12/31/95 <br /> 2 60 004 TA150204 005559 10;000 Unleaded 01 Active Permit 01/01/95 12/31/95 <br /> 2390 005 TA150205 005.560 101000 Unleaded 01 Active Permit 01/01/95 12/31/95 <br /> 006 TAIS0206 Co5561 10,000 Unleaded 01 Active Permit 01/01/96 12/31/95 <br /> 2380 007 TAIS0207 005562 10;000 Unleaded 01 Active Permit 01/01/95 12/31/95 <br /> L1008 Tp150208 005563 350 01 Active Permit 01/01/96 12/31/95 <br /> 2380 009 TA15O209 005564 ?SO 01 Active Permit 01/01/35 12/31/95 <br /> PERMIT CONDITIONS : <br /> 11 The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and 0VICE Fees are not paid and/or the UST systems) faili <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TANK OWNER who accepts responsibility 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 Joaquin County. <br /> 3) The TAW, OPERATIONS), if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING AGREEMENT required under flection 25293, Chapter 6.7, Division 20, California Health and Safety Code. <br /> 4) The TAMC OWNER stall notify the Environmental Health Division of any proposed change in operation or ownership of the l,ST <br /> system. <br /> 5) tenon any charge in equipment, design or operation of this facility, the PERMIT TO OPERATE will be reviewed by the <br /> Environmental Health Division. <br /> 6) A construction or removal permit is required from the Environmental Health Division prior to any removal or <br /> change of UST system equipment. <br /> 7) This PERMIT TO OPERATE shall not be co%. idered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an UST FACILITY issued to: MOORE PETROLEUM <br /> PO BOY 67 / <br /> BANTA, CA 95:;04 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED ,r REVOKED for cause . <br /> THIS FCS KJST BE DISPLAYED CONSPICLKYLKSLY ON TME PREHISEES <br /> n'Eral1LATED FACILITY: MOORE PETROLEUM Account I0, 0003511 <br /> 5491 F '=T Facility ID: 003919 <br /> BANTA, CA 95:04 Permit Printed: 08/11 19._ <br /> 8'.LING ADDRESS; <br /> MOORE PETROLEUM j <br /> ATTN : MOORE PETROLEUM / <br /> PO ROY 67 <br /> BANTA, UA g5304 <br />