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SAN 4VQUIN COUNTY PUBLIC HEAL SERVICES <br />P O Box 3W • STmKToN, CA 95201-0388 • PAWE (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 />IVI E 'AT11)+G PFRrIT l=Ltl U40,281GROUN3 STORA43E TAS: FACILITY <br />Unleaoeo UL 410paiClinal rermli <br />Leaded 02 Conditional Permit <br />Unleaded 02 Conditional Permit <br />Annual Permit. Fee Valid <br />From To <br />01101/95 12/31195 <br />011 Ol/95 12/3'1/35 <br />PERMIT CONDITIONS: <br />i) The PERMIT TO OPERATE will become void if ANNUAL PER141T Fees and SERVICE Fees are not ,aid and/or the UST system's) fails <br />to remain in compliance with the PERMIT CONDITION'S. <br />2? The PERMIT TO OPERATE is granted to the T44K OWNER who accepts responsibility for operating and monitoring the UST system <br />according to State underground storage tank: laws and reguiations as well as any conditions established by San Joacnin C7<anty. <br />3) The TANK OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system accordim to the WRITTEN <br />OPERATING AGREEMENT required under Section 25293, Chapter 6.1, Division 20, California. Health and Safety C=ode. <br />4) The TANK OWER shall notify the Environmental Health Division of any proposed change in operation or ownership of the Us, <br />system. <br />5? Upon any charge in equipment, design or operation of this facility= the PERMIT TO OPER AT,will be reviewed by the <br />Environmental Health Division. <br />6? A construction or removal permit is required from the Environmental Health Division prior to any reroval or <br />Change of lPT system e.lipment. <br />T) This PERMIT TO OPERATE stall not be considered permission to violate any existing laws, ordinances or statutes of otter <br />federal, =_tate or local agencies. <br />E) A "Conditional Permit" may to revoked if corrections are Mt completed by the date(s) specified on inspection. <br />PERMIT TO OPERATE an UST FACILITY issued to; U S A rASOLINE CORE' <br />2701 OCEAN PARK BLVD <br />SANTA MONICA, CA '904")E, <br />PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause.. <br />A # } :i + a <br />THIS Fad M)ST BE DISPLAYED CONSPIC(lOLr--LY ON THE PREMISES <br />REGULATED FACILITY; t'_:A 'r'ETPALEUM CO #65 <br />4'50=;; W LODI AVE <br />LORI , CA 95240 <br />BILLING ADDRESS. <br />USA PETROLEUM CC, #6S <br />ATTN: USA PETROLEUM CO #r..5 <br />50101 Ar3OVRA CT <br />AGO RA !-SILLS, CA 'p1301 <br />0 <br />Account I0, 00034102 <br />Facility ID: 003e315 <br />permit Printed: 03121!'_5 <br />0 <br />Tann <br />Tank <br />Permit <br />P/E <br />Number <br />Record ID <br />Number Capati <br />23E0 <br />00i <br />TA13SGOI <br />005002 12;000 <br />23 so002 <br />TA135602 <br />_005004 12,000 <br />23$0 <br />to}3 <br />TAi35F03 <br />005005 12, OW <br />Unleaoeo UL 410paiClinal rermli <br />Leaded 02 Conditional Permit <br />Unleaded 02 Conditional Permit <br />Annual Permit. Fee Valid <br />From To <br />01101/95 12/31195 <br />011 Ol/95 12/3'1/35 <br />PERMIT CONDITIONS: <br />i) The PERMIT TO OPERATE will become void if ANNUAL PER141T Fees and SERVICE Fees are not ,aid and/or the UST system's) fails <br />to remain in compliance with the PERMIT CONDITION'S. <br />2? The PERMIT TO OPERATE is granted to the T44K OWNER who accepts responsibility for operating and monitoring the UST system <br />according to State underground storage tank: laws and reguiations as well as any conditions established by San Joacnin C7<anty. <br />3) The TANK OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system accordim to the WRITTEN <br />OPERATING AGREEMENT required under Section 25293, Chapter 6.1, Division 20, California. Health and Safety C=ode. <br />4) The TANK OWER shall notify the Environmental Health Division of any proposed change in operation or ownership of the Us, <br />system. <br />5? Upon any charge in equipment, design or operation of this facility= the PERMIT TO OPER AT,will be reviewed by the <br />Environmental Health Division. <br />6? A construction or removal permit is required from the Environmental Health Division prior to any reroval or <br />Change of lPT system e.lipment. <br />T) This PERMIT TO OPERATE stall not be considered permission to violate any existing laws, ordinances or statutes of otter <br />federal, =_tate or local agencies. <br />E) A "Conditional Permit" may to revoked if corrections are Mt completed by the date(s) specified on inspection. <br />PERMIT TO OPERATE an UST FACILITY issued to; U S A rASOLINE CORE' <br />2701 OCEAN PARK BLVD <br />SANTA MONICA, CA '904")E, <br />PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause.. <br />A # } :i + a <br />THIS Fad M)ST BE DISPLAYED CONSPIC(lOLr--LY ON THE PREMISES <br />REGULATED FACILITY; t'_:A 'r'ETPALEUM CO #65 <br />4'50=;; W LODI AVE <br />LORI , CA 95240 <br />BILLING ADDRESS. <br />USA PETROLEUM CC, #6S <br />ATTN: USA PETROLEUM CO #r..5 <br />50101 Ar3OVRA CT <br />AGO RA !-SILLS, CA 'p1301 <br />0 <br />Account I0, 00034102 <br />Facility ID: 003e315 <br />permit Printed: 03121!'_5 <br />0 <br />