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s SAN JOAN COUNTY PUBLIC HEALTH $&VICES <br /> P O Box 388 • STocxroN, CA 95201-0388 • PHoNe ) 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 /> LWERATi :[l6 PETIT IFUA UNVERGIZkWD TC TAW,— FACILITY <br /> Tari Tank Permit Annual Permit Fee Valid <br /> R/E Number Record 10 Number Capacity__ Contents Permit Status _ From To <br /> 2380 CC TAIE9801 006847 2,000 Unleaded Cil Active Permit 01/01/96 12/3165 <br /> 238- -03 TA169803 0068si 100 Unleaded 01 Active Permit 01/01/•36 12/31/96 <br /> 280 004 TA169804 :1)6854 104 Unleaded 01 Active Permit 01101/36 12!31!96 <br /> 2330 OOS TA1598US 006856 104 Unleaded 01 Active Permit 01/01/96 12/31/96 <br /> 22-6. 046 TA069806 006859 100 Unleaded 01 Active Permit 01!01i95 121^1!96 <br /> 2361: 002 TA169802 007329 2.NO Unleaded 01 Active Permit 01/01/96 12!31/96 <br /> +30 407 TA1596'01 037830 104 Unleaded 01 Active Permit 01/01/36 12/31!95 <br /> ate? tvd TA169808 047831 100 Unleaded 01 Active Permit 01/011i% 12/31/96 <br /> PERMIT CONDITIONS: <br /> 1) The PERMIT TO CFER"ATE will become void if APAdiML PERMIT Fees and SERVICE Fees are rot paid andior the ti'o'I system(s) fails <br /> to remain in compliance with the PERMIT CCNDITIONS. <br /> 2) The PERMIT T4 OPERATE is granted to the TANK OWNER who accepts responsibility for aerating and bun:itoring the th3T system <br /> according to State underground storage tank laws and regulations as well as any conditions established by San Joaquin County. <br /> 3) The TAW OPERATOR(5), 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 TAtJk Cy»"•lER shall notify the Environmental Health Division of any Proposed change in aeration of ownership of the UST <br /> System, <br /> S: Upon any change in equipment., design or operation of this facility, the PERMIT T`3 OPERATE will be reviewed by the <br /> Environmental Health Division. <br /> 5) A construction or removal permit is requirwd from the Envir•oinentai Health Division Prior to any '-removal or <br /> change of UST system equipment. <br /> 7) This PERMIT TO OF•ERAIE shall .not be considered Permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> 41 <br /> PERMIT TO OPERATE ar, UST FACILITY issued to: DEPT OF THE YOUTH At iTHOR I TY <br /> 4241 WILLIAMSBOURCiH DR <br /> :SACRAMENTO, CA 95:=12 , <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENT are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause . <br /> THIS; FL-MI, ST )3E DI YED CONSPICs.0.9SLY ON THE Pf ISES <br /> REG!:LATED FACILITY: NORTHERN CAL.. YOUTH CENTER, Ac.onnit ID; 0003S4.5 <br /> 7: SO S NEWCASTLE RD Facility ID; OC?:39_"3 <br /> STOCKT :N, CA 9521:3 Permit Printed; OSIC"12/96 <br /> BILLING ADDRESS: <br /> NORTHERN CAL YOUTH CENTER <br /> ATTN: JERRY NOMA/PLANT CiPERATION <br /> PO BOX 21--1004 <br /> ST:iCR::TON , CA •15'21.3—'_-004 <br />