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SAN JOA&IN COUNTY PUBLIC MALTH VICFS <br /> P 0 Box 388 'W STOCKTON, CA 95201-0388 * PHONW209) 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA HERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> A fi. <br /> C 'LlTi <br /> T <br /> i NG PEW1 1 <br /> Tart!.: Ta-nk Permit a Annijall Permit Fee Valid <br /> P/E Number Record 1D Number '-ap a c it.y Cent-Int=. Permit Status From To <br /> s(sUnleaded 01 Active Pervit 01/0!/96 12f31/96 <br /> 004 TA121704 415414 12,000 -0 <br /> 01 Active Permit 01101196 12/31/9 <br /> TA121705 OOS420 12.,000 Unleaded <br /> PERMIT CONDITIONS1, <br /> 1) The PERMIT TO CHRATE will beccee void if ANNUAL PERMIT Fees and SERVICE Fees are rint paiii a%'/Or the UST rsysf-'Eip(s) fails <br /> to remain in compliance with the PERMIT CONDITICKS. <br /> 2) The PERMIT TO OPERATE is granted tti the TO %4ER %tio accepts responsibility for operating and ffinnitoping ttie UST system <br /> according to State underground storage tank laws and regulations as well as any conditions established by San Joaquin County. <br /> 30 The TAW OPERATOR(S), if different frar, the tank owner, shall operate and monit.r, thc V, system according to the WRITTEN, - <br /> _ ST <br /> OPERATING AEREEMENT required urj&ep Section 26293, Chapter 6.7, Division 20, California Health aTOJ Safety Code, <br /> 43 The TAC, 06 shall ratify the Enviporimental Health Divisic-n of any proposed change jr, operation or ownership of the l <br /> system. <br /> S! ',kpon any change in equir*nti deciisn or c-Fteyatlon of this facility, the PERMIT TO OPERATE will t* reviewed by the <br /> Envirorment-01 Hsalt-h Division. <br /> S?) A (onstructir, or removal permit is required froff, the EnviTomantal Health Division Prior to aKlY removal T' <br /> 1. 1_rl I <br /> change of UST system equipffiert. <br /> 7) This PERMIT TO OPERATE shall not be considered Permission to violate any existivig laus, nrdinaflck or statutes of other <br /> federal, state or local aq-e-Alies- <br /> 4,' + # <br /> PERMIT TO OPERATE an UST FACILITY issued tot UNOCAL- ME24C. <br /> PO BOX 23,90 <br /> 2,REHII , CA Sj <br /> FPERMITS TO OPERATE acrd ANNUAL- PERMIT FEE PAYMENTS are NOT TRANSFERAE?,LE <br /> and may be SUSPENDED or REVOKED for cause . <br /> T4 L -kGLY 00 TI-E P*ZErs S <br /> pS, FL-RK, pKp:-q BE DISpLAyED CL _-Pj0jAL ISE <br /> *1 # <br /> REPWLATED FACILITYt UNUC:AL SEFRVICE Acccdjnt 10, 0003491 <br /> 4767 PACrIFIC: AVE Facility ID.- 007190:-5 <br /> '.--,T0C:i:'.'.TON, CA 9 9'207 7 PeFmi t PTinted: 0.5 02i, 96 <br /> BILLIM ADDRESS, <br /> UNCDCAL 'SERVICE SS#698 1 <br /> ATTN: 76 PRODUCTS CID : iL-LFI- <br /> PO BOX 2r:-: 76 <br /> —ANTP-"l ANA, <br />