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SAN JOANN COUNTY PUBLIC HEALTH WVICES <br /> P O BOX 388 !S OCKTO v, CA 95201-0388 • PHONE 09) 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 /> Q Taf'a'"&= PERMIT F(R UNDERGRE1R.RCI STURAGE TPDXF FICILITY <br /> Tank Tank Permit. Annual Permit Fee Valid <br /> P/E Number _Record IO Number Capacity Contents Permit Status From To <br /> 2390 002 TA142202 Or4832 10,000 Unleaded 02 Conditional Permit. 01/01 12131196 <br /> 2380 001 TA142201 iv)E594 10.ON Unleaded 02 Conditional Permit 01/01/96 12/31/96 <br /> PERMIT CONDITIONS; <br /> 1) The PERMIT TO OPERATE will become void if ANRIAL PERMIT Fees and SERVICE Fees are not paid and/or the UST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TANK OWNER who accepts responsibility for operating and monitoring the UST system <br /> according to State underground storage tank laws and regulations as well as any conditions established by San Joaquin (" unty. <br /> 3) The TANK, OPERATDR(Si, if different. Prem the tank cduner, shall operate and monitor the IE:T system according to the WRITTEN <br /> OPERATIM , AGREEMENT re;uired under Section 25233, Chapter 6.7. Division 20, California Health and Safety Code. <br /> 4) The TANK OWNER shall ifotify the Environmental Health Division of any proposed charge in operation or ownership of the UST <br /> system. <br /> a) 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 removal or <br /> change of UST system equipment.. <br /> 7) This PERMIT TO OPERATE shall not be considered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> 8) A "Conditional Permit" way be revoked if corrections are not completed by the date(s) specified on inspection. <br /> # # # # # <br /> PERMIT TO OPERATE an UST FACILITY issued to. TRACY CITY OF <br /> E.r_: , _ TRACY FL',%D <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be 'SUSPENDED or. REVOKED for cause . <br /> THIS FOW FST EDE DISTLAYED C-X" IAV ON THE PREMISES <br /> # # # # <br /> REGIEA.TED FAC ILI Y; TRACY AIRPORT Account. ID; 00O: ^64_ <br /> 29633 S TRACY BLVD Facility IN 003781 <br /> TRACY , CA 95:=7r_. Permit Printed; OS/02/96 <br /> BILLING ADDRESS, <br /> TRACY, C:I T'Y C <br /> ATTN ; TRACY CITY OF <br /> 560 - TRACY BLVD <br /> TRACY , CA 95:=76 <br /> z 0 <br />