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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> P O Box 388 S-WKWN, CA 95201-0388 • PHONE (209) 468.3420 <br /> ERNEST M. FUJIMOTO,D DCTPENVIRONMENTALAOFFICER <br /> O , HEALTH DIVISION <br /> DONNA RERAN, R.E.H.S., <br /> ENVIBONWNTAL HEALTH <br /> LT.k4. % E�"eIT F0 . <br /> 4STORAGE TAF E'ACILITV <br /> Annual permit fee Valid <br /> Tank Permit permit Status From To <br /> ank !;mer L'apacity Contents 0 01/0107 l2/?1/97 <br /> oyc_ Waft Record IO O>nieaded 01 Activ. ,ermit <br /> Yit1 003 TAi.S'_803 004896 525 0+, Active Permit 01/0107 12/31/57 <br /> r�50 004 TAIR00d 004897 52S Diesel <br /> PERMIT CONDITIONS: <br /> 1) The PERMIT TO CEfRATE will tecome vol if Ah. AL PERMIT Fees and 0ViCE Fees are raft paid and;or the LST system(s) alis <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TANK OWER 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 Ccarnt; . <br /> 3) The TANK OPERATOR(S), if different from the tank owner, shall Operate and monitor the UST system according to the WRITTEN <br /> OPERATING AEFEEEMEMT required funder Section 2; 3, Chapter 6.7, Division 20, California Health and Safety Cale. <br /> 4) The TAW-. (WER shall notify the Environmental Health Division of any proposed change in operation or owrership of the ikST <br /> system. <br /> 5) Upon any change in equipment, design operation eration of this facility, the PERMIT TO OPERATE will be reviewed by t4 e <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 considered permission to violate an'i existing laws, ordinances Cv statutes Of Other <br /> federal, state or local agencies. <br /> a 4 4 t # <br /> PERMIT TO OPERATE an UST FACILITY issued to: LIBERTY RURAL_ FIRE DISTRICT <br /> 2412.4 N BRUELLA RD <br /> AC:AMPO, CA 95220 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause . <br /> THIS FORM MUST BE DISPLAYED CONSPIC1l0kpSLY M- TW PREMISES <br /> RECLLATED FACILITY: LIBERTY RURAL FIRE DISTRICT Account iD, 000.1380 <br /> + �7.Rqk Facility ID; 003795 <br /> ACA . , Ca Permit Printed, 03/28/97 <br /> 5ILLItiS ADDRESS: LIBERTY RURAL FIRE DI=',TRICT <br /> 24124 N EtRUEL.LA RD <br /> ACAMPO, �-A 95226 <br />