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SAN jol --jIN COUNTY PUBLIC HEALTH 'RVICES <br /> # "(209) 468-3420 <br /> P 0 Box 388 I STocwwN, CA 95201-0388 0 Pao 1 <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 /> XWD STORA6E T�VK FACILTTY <br /> W-A PERM,IT FOR �*MRGRL <br /> Annual Permit Fr-a Val-ld <br /> Tank Tct <br /> PT Number Record ID Numter Capacity Contents Permit. Status From <br /> --Peg Unleaded v! Active Permit 04/131-67 12/11.13P/ <br /> 2 V <br /> 004 TAIEKKI04 TAI! 75004285 8,W Prem Unleaded 01 Active Permit 04103/9-7 1211^11197 <br /> 23, 005 0j Active Permit 04103197 12131157?)'-� (I TA160M fK)4k-K-- 8X Midgrade Unleadk <br /> PEFNIT WNDITICINS ; if AWWL PENT Fees and S-ZNICEE FLies are wt. paid andlor t-N USTI sYstevl(s) fails <br /> Tr%- P <br /> I � PERMIT TO OPERATE will beccF,* void j <br /> to remain in coiiipiiance with the PERMIT CXITIQW. <br /> The PERMIT TO OPERATE is granted to ite TAW, WNER Who accepts TeSPc,isjbil-AY for operating and rrjnitoinq the UST system <br /> according to State �ndergrounJ storage tank I �s <br /> regulations as well as any conditions established by Sari Jnaqu n CDuntY. <br /> laws and regulall Operate ani monitor the UST system according to the WRITTE�; <br /> 'j) The TWK gPERpN,$), if different from the tare: 'Yon r, Sh <br /> OfERAT106 AGREEMENT required under section 25Z43, Chapter 6.7, Division 20, California Health and Safety CcrL"e. <br /> T <br /> �' C-f the tic,' <br /> Al The TANK WNER 4- tall notify the Envirovfipnal peal*,4� ojivi5ion Of any proposed change in o;,Prati40T, Or ownershi <br /> system. -3r, r-r oper,;Aiun of this facility, t�ie PERMIT TO OPERATE will be reviewed by the <br /> S) Upon any change in equiWeTit, desi-I - <br /> Environmental Health Division. <br /> 6 A construction 0rerno-val permit is -ewlred from tyrer En',irof-imental ptpalt,j Division prior to any rer-oval or <br /> change of 1.6T system equipment. <br /> 7 ThIs PERMIT TO OPERATE shall be c0psiderzd per-mis. irm to viri'ate <br /> any exiting laws, or li?wces c!r -,t.Ej1Lj.,te5 of c�t-her <br /> f ejer:kl*, state or local agEracies. <br /> P4Rt i; T@ OPERATE an t!ST FACILITY issued to; MCICIRE, JEr'FY <br /> �X 67 <br /> A <br /> E"ANTA, CA A <br /> RMTT �4'0T TRW%J`:�FERAELE <br /> OPERATE. ay-id AN]NiJOL F'E FEE F,AYME�JT,�� <br /> pcF�t�ll S Ti `E[� <br /> aTlij rrj;;t-y L,e, S1JSr"'ENDED ,_i1• REV0K <br /> IN <br /> LAYER C("Sp I Cti.IL-k]SLY f- THE PREMISES <br /> THIS FOM M.N:�T BE 01 <br /> REAccc'ulit !D. 01YUNS4 <br /> WLATED FACILITY: . <br /> 00 99 FR04� 0AUE RD Facility 10! WSl <br /> 41op ITT Permit Printed. 0412,07 <br /> T I G E FR E A'L F'R' <br /> RILE ALCURAES`31 <br /> 4TTN,. <br /> r F1 P:Ct X 7 <br /> '-D GO( <br /> C'A <br />