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SAN JOAWJJN COUNTY PUBLIC HEALTA&RVICES <br /> P O Box 388 W S OCKTON, CA 95201-0388 • PHON (209) 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 /> WERATING PERMIT FOR LMERRRCELJWD STOWE TAW FACIE_I1I <br /> Tank Tank Permit A nuzil Permit Fee v;;1id <br /> PrE tuber Record IG Number Capacity. _ Contents Permit Status rTom To <br /> K-1 GO 002 TA142262 004932 10,000 Nleaded -- 02 Conditional Permitit/0,119.5 <br /> 2380 001 T8142201 006594 10,CON Unleaded 32 Conditional Permit 01/OI6.15 121ir`af <br /> PERMIT CONDITIONS! <br /> 1) The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SERVICE Fees are not paid and/or the i)8T syst.Em(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to t* TA's( NNER who accepts responsibility for operating and monitoring the UST system <br /> according to State underground storage tar& laws and regulations as well as any conditions established by San Joaquin County. <br /> 3) The TANK OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to t,1n U."1714 <br /> OPERATING AGREEMENT required under Section 25293, Chapter 6.7, Division 20, California Healthand Safety Cue, <br /> 4) The TANK OVER shall notify the Environmental Health Division of any proposed change in operation or ownership of the T-7 <br /> system. <br /> S) Upon any Change in equipment, design or operation of this facility, the PERMIT TO OPERATE iaiH be reviewed by t`- <br /> Environmental Health Division. <br /> 6) A construction or removal permit is required from the Environmental Health Division prior to any rwyal or <br /> change of UST system equipment. <br /> 'I" 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* may be revoked if corrections are not completed by the date(s) specified on inspection. <br /> PERMIT TO OPERATE an UST FACILITY issued to, TF'ACY CITY OF <br /> 5r=C TRACY BLVD <br /> TRACY, CA <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TPANSFERAE:LE <br /> and may be 'SUSPENDED or REVOKED for cause . <br /> THIS FQVM WST RE DISPLAYED 00 ICt1CA.f;+._Y ON T-EE PREMISES <br /> REGULATED FACILITY' CITY OF TRACY AIRF'C IRT Account 1; '.i+ +..i: _0 4 <br /> 29- 63:3 = TRACY BLVD Facility ID; C!Cj27 i <br /> TRACY, CA '35'=;76. PermiiF'rinted; :°% ' 1 %'a_, <br /> BILLING ADDRESS; <br /> TRACY, CITY O <br /> ATTN; TFACC:Y CITY OF <br /> SG-0 = A(�v 'L.„r. <br /> TRACY , CA <br />