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SAN JOIN COUNTY PUBLIC HEALTH *VICES
<br /> 304 E.WEBER AVE.,TnIRD FLOOR - STOCKTON,CA 95202 . E (209) 468-3420
<br /> KAREN FURST, M.D., M.P.H., HEALTH OFFICER
<br /> DONNA HFRAN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION
<br /> ENVIRONMENTAL HEALTH
<br /> 0PTDPER"IT FOR UA GORK-K.N0 -13TORAGE TANK. FA,1.-;1'L1TY
<br /> Tank pepmit Apr�Ial Pepm't Fee V:al'V�
<br /> P'E Wt)ber n-=ord ID Number Ca;-acity Contents permat Uatus Fr mTo
<br /> TA-9-672 902 1 006 Peg Unleaded 01 Active Permit
<br /> TA506726 00,3030 6,000 Prem Unleaded 01 Active Permit 06/6 P-H 1213119r
<br /> TA5OG727 010130,31
<br /> 003 0
<br /> 11100 Diesei 01 Active Permit 05/08/1918 12f'!1 9'
<br /> PERMIT COIDITIONSi
<br /> I) The PERMIT TO OPERATE will become void if AI AL PERMIT Fees and '3ERV10E Fees are not paid andllof the L)�,T system(() failz-:-
<br /> to remain in compliance with the PERMIT Cr 31DITICR.3.
<br /> 2) The PERMIT TO OPERATE is granted to the TNW,*. OWER who, accepts pes s4bilit-i fop operating and rfr--�T)Itor-lng the IrST system
<br /> Pon I I , I
<br /> -rage ta0 laws arri regulaiJi-, s as well as any conditions established by San joaquin County.
<br /> ;rlrord'rtq b-i Mate underground sto -n ZT �
<br /> The TAW OPERA
<br /> TOF(S), if different fvoTh the tank owner, shall operate and monitor the U,� system according to the RIITTEN
<br /> PERATING AGREEMENT reciuired under Section 25 93, Chapter 6-7, Division '-- Calif0rIla Health arra Safety Cude.
<br /> 4') The TAW. OWNER shall notify the Environmental Health Division of any prcposed change in or--c-ration or o"i -pship of the L67
<br /> system.
<br /> 5) Upon any change in ecpjipruent, de-sign or oFepation-- of t-hj-q facility., the, PERMIT TO OPERATE will be, reviewed. by the
<br /> Environmental Health Division.
<br /> A 11-115tpuction or pemoal peTfffit is recuiced ffoff, the Environmental Health division Prior to any removal o�
<br /> change of UST system equipment,
<br /> 7) This PEERMIT TO OPERATE shall not be considered per-missiop to violate aiv ex'isti.N laws, ovdinances or sta"i-A-es, of other
<br /> federal, state op local agencies.
<br /> PERMIT TO OPERATE n U-T FACILITY issued t=o, r, FAMILY LY i V
<br /> an -b.
<br /> F,i--! KY !2 1 Ct
<br /> 0 D I , C: 9_'-,2 1
<br /> PERM!7:3� TF-1 F-IPEF;ATE ai-od ANWALPERMIT FEE PAYMENT'n N!--iT TRPN,:-:-,F Elf-%,AE=LE
<br /> `EVC4::'E1,-) f,:, c :us
<br /> S�JSPENDED
<br /> a y t,c
<br /> THIS F01-" MUS:T BE DISPIUAYED COWPIOXXISLY ON THE PREE-1411SES
<br /> REGULATED FACILITY, GE;4JEt:..E FAMILN 1—P I V* Account ID: 0012280
<br /> 1. 111 E l-`ETTLEMAN LN Facility ID; 0Pj7S94
<br /> L.ODI CA A Permit Printed: 06110319A
<br /> -61ILLIRG AMIRE13-5i GEWE[--:`EE FAMIL'y: 1 F V.1.
<br /> ATTN ,, G I L L E'::;P i 17., D-"1'11-C
<br /> 1111 E I�`FTTLDIAN ILN
<br /> L-OD! ,x°40
<br />
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