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SAN�Q� COUNTY PUBLIC HE SERVICES
<br />POBOx
<br />STOCKTON, CA 95201-0388 • rte (209) 468-3420
<br />EUJIMOTO M.D., M.P.H., ACTING HEALTH OFFICER
<br />ERNEST M.
<br />DIRECTOR, ENVIRONMENTAL HEALTH DIVISION
<br />DONNA HERRN, R.E.H.S.,
<br />ENVIRONMENTAL HEALTH
<br />t-LPC;ATrk''f-T P�11R11T
<br />Annual r'ermit Fee Valid
<br />PERMIT CONDITIONS
<br />d if APkYUAI PERMIT Fees and EfiV'ICf Fees are rot paid and/or the UST systemfsi fails
<br />li iii• F'ERt`iiT TO OPERATE pili became voi�
<br />to remain in compliance with the PERMIT CONDI?ICS.
<br />2i The PERMIT TO OPERATE is grant to the TAN.. O'ER who accepts responsibility for operating and monitoring tYr UST 5ysteh
<br />according to State underground storage tank laws and regulations as well as any conditions established by `an Jo- WR Cnunty.
<br />3i The TANk; DPERATCRiSi, if different. frail the tank Owner, shall operate and monittrt tt US system accor,; to tta #ITTEtd
<br />CheRTAKV, FREEMEN? required under Section 252y�, Chapter 6.7, Division 20, California Health and Safety Code.
<br />4) The TMIFk OWNER shall Tjot.ify the Env;ronmental Health Division of any proposed chance in operation or Ownership Of #.!r USI
<br />5i ;orep.any change in equipment, design or Operation Of this facility, the PERMIT TD OPERATE ill be reviewed by the
<br />Environmental Health Division.
<br />6) A construction or removal permit is required frtwi the Environmental Health Division prior to any removal or
<br />change of UST system mipment. :•`t ,
<br />7i This FERMiT TG OPERATE shall not be considered permission to violate any existing laws, or_inances or stawt-_ ,;f ol.tG,
<br />federal, state or local agencies.
<br />$i A "COnditi{�nai Permit" may be revoked if corrections are nos. {Omp�eted b'y 'he detetsi SpecifiedOn inspection.
<br />PERMIT TO OPERATE an l5? FACILITY issued to; U S A GA3CILINE CORP
<br />.:701 OCEAN PARk. 2 -LVF -1
<br />SANTA MONiC:A, CA 90 4.0%6
<br />PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENT=; are NOT TRANSFERAEi_E
<br />and may be SUSPENDED or REVOKED for cause.
<br />T # ti
<br />TRIS; Pli". 11 'AAT BE DISPLAYED ;fi�IL�4L1Y � 4�W 9afE PREM:lI ES
<br />REG!aATED FACILI''Y' USA GASOLINE CORP
<br />u 0`� WI ODI AVE
<br />LODI; CA 35.?d.o
<br />BILLING ADDRESS CORP
<br />ti3A GA'F;C�LTt,E R
<br />ATTN: US' -A GA'SOL_TNE CORP
<br />00101 AGOURA CT
<br />AGOURA HILL'S, CA 91-3101
<br />Account ID, 00C-)3402
<br />Facility IDI 0,03,31S
<br />Permit Printed; 06/02/96
<br />40 0
<br />Tank
<br />Nwliber
<br />Tari.
<br />;r
<br />Record -'
<br />Permit
<br />Humber
<br />Capacity
<br />--
<br />Contents
<br />i --
<br />Permit Status
<br />02 r" -- vondittitnai permit
<br />From
<br />____-----
<br />Oi(�i1ti6
<br />IO
<br />..
<br />121�i11+6
<br />PIE
<br />n01
<br />?A135E01
<br />_._
<br />:}05002
<br />12,(0[?
<br />Unleaded
<br />02 Conditional Pertiit.
<br />01/01/56
<br />12/32/95
<br />_:BI
<br />o� J
<br />Oj):
<br />TAi'j550L
<br />005004
<br />12,000
<br />Leaded
<br />Unleaded
<br />02 Conditional Permit
<br />v'i(011.
<br />1213! '%
<br />2�zOO
<br />003
<br />TA1351rJ?
<br />tkis00b
<br />Q'000
<br />PERMIT CONDITIONS
<br />d if APkYUAI PERMIT Fees and EfiV'ICf Fees are rot paid and/or the UST systemfsi fails
<br />li iii• F'ERt`iiT TO OPERATE pili became voi�
<br />to remain in compliance with the PERMIT CONDI?ICS.
<br />2i The PERMIT TO OPERATE is grant to the TAN.. O'ER who accepts responsibility for operating and monitoring tYr UST 5ysteh
<br />according to State underground storage tank laws and regulations as well as any conditions established by `an Jo- WR Cnunty.
<br />3i The TANk; DPERATCRiSi, if different. frail the tank Owner, shall operate and monittrt tt US system accor,; to tta #ITTEtd
<br />CheRTAKV, FREEMEN? required under Section 252y�, Chapter 6.7, Division 20, California Health and Safety Code.
<br />4) The TMIFk OWNER shall Tjot.ify the Env;ronmental Health Division of any proposed chance in operation or Ownership Of #.!r USI
<br />5i ;orep.any change in equipment, design or Operation Of this facility, the PERMIT TD OPERATE ill be reviewed by the
<br />Environmental Health Division.
<br />6) A construction or removal permit is required frtwi the Environmental Health Division prior to any removal or
<br />change of UST system mipment. :•`t ,
<br />7i This FERMiT TG OPERATE shall not be considered permission to violate any existing laws, or_inances or stawt-_ ,;f ol.tG,
<br />federal, state or local agencies.
<br />$i A "COnditi{�nai Permit" may be revoked if corrections are nos. {Omp�eted b'y 'he detetsi SpecifiedOn inspection.
<br />PERMIT TO OPERATE an l5? FACILITY issued to; U S A GA3CILINE CORP
<br />.:701 OCEAN PARk. 2 -LVF -1
<br />SANTA MONiC:A, CA 90 4.0%6
<br />PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENT=; are NOT TRANSFERAEi_E
<br />and may be SUSPENDED or REVOKED for cause.
<br />T # ti
<br />TRIS; Pli". 11 'AAT BE DISPLAYED ;fi�IL�4L1Y � 4�W 9afE PREM:lI ES
<br />REG!aATED FACILI''Y' USA GASOLINE CORP
<br />u 0`� WI ODI AVE
<br />LODI; CA 35.?d.o
<br />BILLING ADDRESS CORP
<br />ti3A GA'F;C�LTt,E R
<br />ATTN: US' -A GA'SOL_TNE CORP
<br />00101 AGOURA CT
<br />AGOURA HILL'S, CA 91-3101
<br />Account ID, 00C-)3402
<br />Facility IDI 0,03,31S
<br />Permit Printed; 06/02/96
<br />40 0
<br />
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