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SAN JOA&M COUNTY PUBLIC HEALTH VICES <br /> P O Box 388 W S OCKTON, CA 95201-0388 • PHONF 09) 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 /> #Tfl! PEff"d3T FUR Fit tl STYE TAW: rACII_ITY <br /> Annual Permit Fee Valld <br /> Tai: Tank Permit From To <br /> P/E Member Record ID _ Number Capacity Contents Permit Status + `+ <br /> :360 004 rt iV17n4 X35419 12,000 Unleaded 1 Active-Permit "1101!97 12!33/47 <br /> 2360 005 TA12170-S 0OS42;w= 12,WO i:iiieBded <br /> 01 Active Permit 01/01/97 12.131197 <br /> PERMIT CONDITION'S. <br /> I) The PERMIT Ti; OPERATE will tecc�ie void if ANNtN� PERMIT Fees aind SER`JICE Fees are rmt paid and/or the UST sYstem(s? fails <br /> to remain in compliance with the PERMIT Ci3NDITIONS. <br /> 2i The PERMIT TO OPERATE is granted tri the TAW OWNER who accept= responsibility for operatirq and sonit.oring the UST system <br /> according to State underground storage tank law=_ and regulations as Well as any conditions established by San ioaq in Crnmir. <br /> 31 The TANK, OPERATOWS), if different from the tank owner, shall operate and twinitor the UST system according w the WRITTEN <br /> OPE AGREEMEtiT required under Section 25233, Chapter 6.7, Division 20, California <br /> Heaith and Safety Code, <br /> 4) The TAMP: LOWER shalt notify thti Envirowental Health Division of any proposed change in operation or ownershiP of the UST <br /> system. <br /> S) 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 reff"a) or <br /> change of UST system equiPmert. <br /> 7i This PERMIT TO OPERATE shell not be considered Permission to violate any existing laws, ordinances Co.' statutes of other <br /> federal, state or local agencies. <br /> ;P; ak � 3 <br /> PERMIT TO OPERATE an UST FACILITY issued ta, UNOCAL ME +C <br /> PO BOX 0 <br /> ,-,RCA <br /> 'ERMiTS TO OPERATE and ANNUAL PERMIT FEE PAYMENT= are NOT TRANSFERABLE <br /> grid ril8' e <br /> E SUSPENDED Or REVOI,`ED f c r'i- C allse . <br /> , _ <br /> ES <br /> TR I", F qk�T BE D19:0AYED T4;eW7°VI4=i.�.f ON THE r�►2E56IS <br /> T US ji--A SERV t�Fy ,i Account ID; in}ia3491 <br /> REGtLAiED FACILITY; Facility 10; '003303 <br /> a s <br /> pt �_Td . Cy �r 1 Permit Print-ed; 03!231y7 <br /> BTI ADDRE`c4�; ;_'iv(:K AL =EhVIC E <br /> ATTN TS c,000iA;:T:=: Cr LLC. <br /> PC; BOX _.5.;;7E, <br /> ANT Pt APIA A ci 7':,'=i <br />