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.w SAN JO COUNTY PUBLIC HEALTH &VICES <br /> P O Box 388 • sTocKTON, CA 95201-0388 • rqoI��_99) 43420 <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 BEALM <br /> CW-S t;ATil i PERMIT FOR UNDERGRMW STL-*AW TANK FACILITY <br /> Tani Tank: Permit Anrr.+al Permit Fee 'Valid <br /> PIE Nur ber Record] IO Numoer Capacity Contents Permit. Status _ Errors To <br /> 23':o-Wj Mr�i83 <br /> iDI01 OU6047 UK Onleaded Oi Active Perm Ui/01/91 12/31/9? <br /> 2KO ()T3 TAI-69K3 046351 i44 Unleaded 01 Active Permit. 41/01/37 12/31197 <br /> ;380 (s q TA1693O4 (ui685d lO0 Unleaded 0i Active Permit 41/41!97 12/31/91 <br /> 2:tial r;; TAlewlis 006856 100 Unleaded 01 Active Permit 41/01/97 12/31!'97 <br /> 235a 046 TA169806 3'06859 101 Unleaded 01 Active Ferric OI/41197 12!31/37 <br /> 2381 00:14na+a// TA16'3302 641829 2,000 Unleaded Ol Active Permit 01/01/97 12/31197 <br /> C: 441 TA169847 N7^'3(1 1W Unleaded 01 Active Permit tiii'O1l91 12/31/91 <br /> 2380 - .3 TA1698Oo 001811 100 Unleaded O1 Active Permit Gir't}i!9i 12/ 1/?7 <br /> PERMIT WNDITION'Si <br /> I; The PERMIT T4 OPERATE will become void if AWIUAL PERMIT Fees and 'SERVICE Feiss are not paid andlor the U5T system(s) fail <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> ^i The PERMIT TO OPERATE is granted to the TAW1 OWNER who accepts responsibilitY for operating and monitoring the UST system <br /> according to State underground st^}rage tank laws and regulations as well as anv conditions established by Pan Joaquin County. <br /> si TheTANK OPERATOR(:), i•, differert from the tank owner, shall operate and miDnitor the UST system according to the WRITTEN <br /> OPERATING AGREEMENT required under Section 25293, Chapter 6.7, Division 20, California 'Health.and Sa.fetY Code. <br /> 4) The TANK C4,WER scall notify the Envir nmental Health Division of any proposed change in operation or ownership of t`& ik•T <br /> SYStem. <br /> P Upon, any change in equipment, desigi or operation of this facility, the PERMIT TO OPERATE will be reviewed by the <br /> Environmental Health Division. <br /> 6) A constructiceri or removal permit. is required from, the Environmental Health Division prior t� any removal or <br /> change of UST system ecenpmant. <br /> 7) This PERMIT TO OPERATE shall rot be considered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local age*,cies. <br /> PERMIT TO OPERATE an UST FACILITY issued to; DEFT OP THE ` CUIH AU'rHCiRITY <br /> 4 2-4 1 UILLIAM:_SOURGH DR <br /> SA_:RAMENT ; , r A 95r.a <br /> PERMITC Tn OPERATE acid ANNUAL PERt1IT FEE PAYMENT; are NOT TRAN'=FERAFLE <br /> 8111' tila'y tie SU, '::'FENDED or REVOKED for cans:e . <br /> # * } b: # # <br /> MIS 1F' T BE Dls yED j,-Wi•SLY €�$i THE PREMISES <br /> REGULATED FACIL 1TY. rt HFF'N CAL Y1UTF1 U!t,,JEFt# Account. iD; 0003545 <br /> S NEWCAaTLE 00' Facility ID: (NOS'S <br /> • TO0-- TON , Cry 95.211=, Permit Printed; 03/28/91 <br /> BILLING P.DDRE' 3; P '=tRT 'EPN CAL 'i"OUT-1 :ENTER# <br /> a-T,J ; TERRY Ni MIA/F9_ANT i tPERAT IOPi <br />