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SAN VAQUIN COUNTY PUBLIC HEAIJ* SERVICES
<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 RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION
<br />ENVIRONMENTAL HEALTH
<br />CPER,*4 i ZNsS K"ftl'NI T FOR �n" �t_P+.- .� :JTtls,i4.TAW' 11PACILIT'I`
<br />Leaded U Conditional Permit.
<br />Unleaded 02 Conditional Permit
<br />Annual Permit Fee Valid
<br />From TO
<br />01101197 12/31/37
<br />01/01/97 12/31/97
<br />PERMIT CONDITIONSs
<br />1) The PER$'iiT TD OPERATE will become void if ANNUAL PERMIT Fees and SERVICE Fees are T.Ot paid and/or the UST systems) fails
<br />to remain in ccapiiance with the PERMIT CONDITDLINS.
<br />2) The F9111T TO OPERATE is granted to the TANK. OWNER who accepts responsibility for operating and monitoring the UST system
<br />according to State underground storage tank lass and regulations as well as ary 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 />OPERATING AGREEMENT required under Section 25293, Chapter 6.7, Division 20, California Health and Safety Code,
<br />4) The TAW' OWNER shall notify the Environmental Health Division of any proposed change in Operation or ownership Of the t1ST
<br />system.
<br />5) Upon any change in equipment, design or Operation Of this facility, the PERMIT TO OPERATE 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 removal Or
<br />change of UST system equipment.
<br />7) This PEWIT.TO OPERATE shall not be considered permission to violate any existing laws, ordinances or statutes of other
<br />federal, state or local agencies.
<br />8) A'uinditional Permit" may be revoked if corrections are not completed by the date(s) specified on inspection.
<br />1
<br />j
<br />PERMIT TO OPERATE an U7 FACILITY issued to:
<br />U A GASi iL I NE CORP
<br />'701 Or'EAN PARK BLVD
<br />SANTA MONICA, CA 0At 0 G.
<br />PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE
<br />at}d -nay be SVS'PENDED or REVOF:ED fol' cause.
<br />TRFS FCS. "UST 6E DISPLA -i ICM,#SL ON Tim P4R TSE+S
<br />REGULATEDFACILITY ;r•_t, r.c,_;€I ?;a(?: ;;':;jKP #65
<br />2,500 W LODI AVE
<br />BILLING ADORESS, U'=A GASOLINE CORP
<br />ATTN: C: DIAZ/tjSA GASOLINE CORP
<br />AGid.IhA CT-
<br />AGOURA HILLS, CA 9 t:30 I.
<br />Is
<br />Account. iD; 00h)3Il02)
<br />Facility IDs 003815
<br />errait Orinted; 03/28/97
<br />L]
<br />Tank
<br />Tank
<br />Permit
<br />P/E
<br />Number
<br />i Record ID
<br />Number
<br />Capati
<br />2380
<br />001
<br />TA135601
<br />_
<br />00.5002
<br />12,W
<br />231.0
<br />002
<br />TAIM12
<br />005004
<br />12,000
<br />21VO
<br />003
<br />TA135603
<br />005005
<br />12,000
<br />Leaded U Conditional Permit.
<br />Unleaded 02 Conditional Permit
<br />Annual Permit Fee Valid
<br />From TO
<br />01101197 12/31/37
<br />01/01/97 12/31/97
<br />PERMIT CONDITIONSs
<br />1) The PER$'iiT TD OPERATE will become void if ANNUAL PERMIT Fees and SERVICE Fees are T.Ot paid and/or the UST systems) fails
<br />to remain in ccapiiance with the PERMIT CONDITDLINS.
<br />2) The F9111T TO OPERATE is granted to the TANK. OWNER who accepts responsibility for operating and monitoring the UST system
<br />according to State underground storage tank lass and regulations as well as ary 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 />OPERATING AGREEMENT required under Section 25293, Chapter 6.7, Division 20, California Health and Safety Code,
<br />4) The TAW' OWNER shall notify the Environmental Health Division of any proposed change in Operation or ownership Of the t1ST
<br />system.
<br />5) Upon any change in equipment, design or Operation Of this facility, the PERMIT TO OPERATE 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 removal Or
<br />change of UST system equipment.
<br />7) This PEWIT.TO OPERATE shall not be considered permission to violate any existing laws, ordinances or statutes of other
<br />federal, state or local agencies.
<br />8) A'uinditional Permit" may be revoked if corrections are not completed by the date(s) specified on inspection.
<br />1
<br />j
<br />PERMIT TO OPERATE an U7 FACILITY issued to:
<br />U A GASi iL I NE CORP
<br />'701 Or'EAN PARK BLVD
<br />SANTA MONICA, CA 0At 0 G.
<br />PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE
<br />at}d -nay be SVS'PENDED or REVOF:ED fol' cause.
<br />TRFS FCS. "UST 6E DISPLA -i ICM,#SL ON Tim P4R TSE+S
<br />REGULATEDFACILITY ;r•_t, r.c,_;€I ?;a(?: ;;':;jKP #65
<br />2,500 W LODI AVE
<br />BILLING ADORESS, U'=A GASOLINE CORP
<br />ATTN: C: DIAZ/tjSA GASOLINE CORP
<br />AGid.IhA CT-
<br />AGOURA HILLS, CA 9 t:30 I.
<br />Is
<br />Account. iD; 00h)3Il02)
<br />Facility IDs 003815
<br />errait Orinted; 03/28/97
<br />L]
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