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{ SAN JOAC�`IN COUNTY PUBLIC HEALTH SFIDVICES <br /> 304 E.WEBER AVE.,17��IIRD FLOOR • STOCKTON,CA 95202 • PFA&A(209) 468-3420 <br /> KAREN FURST,M.D.,M.P.H., HEALTH OFFICER <br /> DONNA HERRN,R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> OPERATING PERMIT FOR UNDERGRIXIND STORAGE TANK 'FACILITY <br /> ?ark: Tarek: Permit Annual Permit Fee Valid <br /> rE Number Record ID Number Capacity Contents Permit Status From TO <br /> TA505445 008011 3,000 Diesel m Conditional Permit. 01/01/99 12/31/99 <br /> PERMIT CONDITIONS : <br /> 1) The PERMIT TO OPERATE will become void if AIWAL PERMIT Fees and SERVICE Fees are not paid and/or the UST system(s) fails <br /> to remain in compliance with the PERMIT CONDITI NS. <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 remulations as well as any conditions established by San Joaquin County. <br /> 3) The TANK OPERATOR(S), if different from the tank Owner, shall Operate and monitor the UST system according to the WRITTEN <br /> ITERATING AGREEMENT required under Section 25233, Chapter 5.7, Division 20, California Health and Safety Code. <br /> 0 The Tom( OWNER shall notify the Environmental Health Division of any proposed change in Operation Or Ownership of the UST <br /> system. <br /> E% iipon any change in emaipment, design or Operation Of this facility, tte PERMITTO OPERATE will be reviewed by the <br /> Environmental Health Division. <br /> ;) A construction or removal permit is remained from the Environmental Health Division prior to any removal or <br /> change of UST system equipment. <br /> li This PERMIT TO OPERATE shall not be considered permission to violate any existing laws, Ordinances Or statutes of other <br /> federal, state or local agencies. <br /> 8) A "Conditional Permit" may be revok:ed if corrections are not completed by the dates; specified on inspection. <br /> # # + # # # # <br /> PERMIT TO OPERATE an tIST FACILITY issued tO: PACIFIC BELL ENVIRDNMENTAL MGT <br /> PI i BOX 1.5038/3S24 MARCONI RM B <br /> SACRAMENTO , CA SIS831 <br /> PcRMIT' TO CiPERATE anld ANNUAL PERMIT FEE PAYMENT, are NOT TRANSFER Ei E <br /> ar7d ma.y be SIJ'':;FENDED or REVOKED fvl' cause . <br /> THIS FORM d T BE DISPLAYED C014SPICUOUSLY ON THE PREMISES <br /> REG:ILATED FACILITY; PACIFIC BELL Account ID, i003571 <br /> 1413 BIJURBOIN ST Facility 1D; (9)3958 <br /> STO CKTOIN, CA 9 522C1 4 Permit Printed; 05/14/99 <br /> EILLlNG ADDRESS: PACIFIC BELL <br /> ATTN ; ENVIRONMENTAL MGMT <br /> PO BOX 5095, RM #3EOOOT <br /> SAN RAMI N , CA 914583-099S-0995 <br />