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SAN JOAC COUNTY PUBLIC HEALTH Sr ' �ES <br /> P O Box 388S cx:TON, CA 95201-0388 • PHONE VA-<465-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA RERANN, R.E.H..S., DIRECTOR, ENVIIRONMENTALHEALTH DIVISION <br /> F,NR. MONCT11AL HEALTH <br /> L*VE ATING PER"IT F R L94DERCOLILND STORA-`E TAW FACILITY <br /> Tank Tank Parfait Annual Permit Fee Valid <br /> P/E Number Record TD Number Capacity Contents Permit Status _ From To <br /> 20 401 TA15?50? 404689 —500 Unleaded O1 Active Permit 01101/97 1?!3119? <br /> $0 002 TAIS2502 A)04694 250 Waste Gil 42 Conditional Permit 41/0113? 12/31(97 <br /> PERMIT CONDITIONS; <br /> 1) The PERMIT TO OPERATE will become void if ANNI(AL PERMIT Fees and SERVICE Fees are not paid and/or the i,ST system(s) fails <br /> to remain in compliance with the PEMMIT iXIiIONS. <br /> 2) The PERMIT TO OPERATE is granted tD the TANK nmq who accepts respo-Ability for operating and uonitoring the UST system <br /> accordirog to State underground storage tank laws and regulations as well as any conditions established by San Joaquin Counti. <br /> 3) The TPIK OPERATOR(S), if different from the tarp owner, shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING AGREEMENT required oder Section 25293, Chapter 6.7, Division 20, California Health and Safety Code. <br /> 4) The T OWER shall notify the Environr.entai Health Division of any Proposed change in operation or ownership of the UST <br /> systefi. <br /> 5) Upon any change in equipment, design or operation of this facility, the PERMIT TO OPERATE will to reviewed by the <br /> Environmental Health Division. <br /> 6) A construction or removal permit is rewired frrq, the Environtental Health Division Prior to any removal or <br /> change of UST system eW,aipment. <br /> 7) This PERMIT TO OPERATE shall riot be considered Permission to violate any existing laws, ordinances or. stetjjtes of other <br /> federal, state or local agencies. <br /> 8) A "Conditional Permit" may be revL*ed if corrections are not rok,leted by the date(s) specified on inspection. <br /> PERMIT TO OPERATE an UST FACILITY issued to: =,HAWVER, WILLIAM <br /> 916 N BROADWAY <br /> =,TOCKTON, CA 95205 <br /> PERMITS TO OPERATE ari-d ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> an,d may be =, VSPENDED or REVOKED far cause . <br /> THIS FORM %W-T BE DISPLAYED CONSPICUOLKSLY ON THE PREMISES <br /> + + + * * *e ► + <br /> FEGULATED FACILITY; S't;AWV&R TF;( ul:.IM2 _0 1 N Account ID; t')' 'Rc0 <br /> 916 N BROADWAY I Facility ID; 443770 <br /> O-".. I Ani _,r"'',S Permit Printed; 04/01/97 <br /> BILLING ADDRESS; SHAWVER TRUCKING CO INC <br /> A.TTN : WILLIAM '=HA'4'VER <br /> 916 N BROADWAY <br /> S_TOCKTON, CAi 9520.5 <br />