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SAN JOA( I COUNTY PUBLIC HEALTH SCES <br /> P O Box 388 • SrocKToN, CA 95201-0388 • PHONE (209) 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA HERRN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> OPERATING PERMIT FOR UNDERGROLM STORAGE TAW, (FACILITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> P/E Number Record IQ Pk>m757 Capacity Contents Permit Status From To <br /> 23.0 001 TA15O�1 005757 I,0(k3 Leaded 01 Active Permit 01/01/9? 12/31/97 <br /> 230 002 TA150002 005750 1,000 Diesel 0, Active Permit 01/01/97 12/31/97 <br /> PERMIT CONDITIONS ; <br /> 1) The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SERVICE Fees are not paid and/nr the UST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TANK OWNEP 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 TANK OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br /> dPERATING A6REEMB7 recmired under Section 25293. Chapter 5.7, Division 20, California Health and Safety Code. <br /> 4) The TAW. OWNER shall notify thA Environmental Health Division of any proposed charms in operation or ownership of the UST <br /> system. <br /> 5> Upon any change in equipment, de=_ gn or operation of this facility, the PERMIT TO OPERATE will be reviewed by the <br /> Environmental Health Division. <br /> 5, A construction or removai 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 wit be considered Permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> k # 4 <br /> PURMU TO OPERATE an UST FACILITY issued to; MANTECA—LATHROP FIRE DIST <br /> 1677S HOWLAND RD BLDG B <br /> LATHROP, CA 95:334 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRAN'=FERABLE <br /> and rna r be :SUSPENDED nr. REVOKED f c,r cause . <br /> THIS: FORM MUST BE DISPLAYED C01 SP'ICUOUSLY ON -FHE PREMISES <br /> REGULATED FACILITY. liAldTcCA—t_ATtihCF RURAL FIRE Account. ID: 0003604 <br /> 9900 E i ST Facility ID; 003979 <br /> LATHF,i-^ : CA ?`:-s Permit Printed; 03/28/97 <br /> SILLINC ADDRESS; MANTECA—LATHROP RURAL FIRE <br /> 16775 HOWLAND RD BLDG B <br /> LATH ROP, CA 9.4:334 <br />