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SAN JO*UIN COUNTY PUBLIC BEALTI&RVICES <br /> P O Box 388 • S OCKTON, CA 95201-0388 • Pno (209) 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 /> OPERATING PERdMIT FOR UNDERG4'ROLIND STORAGE TANK FACILITY <br /> Tank Tani; Permit Annuai Permit Fee Valid <br /> Pl'"c P'ia�ber Record 10 Ntimt+?r Capacity Contents Permit 6tattis Fro„ _ T_ <br /> _t J Dot TA'_576u1 006494 5:000 Unleaded 02 Cu'Ll,tianal permit. 01111/':5 1??eir'9 <br /> 3;5) r)It2 TA257602 Cm6h4S ",OCA) Unleaded 02 Conditional P'errAit of/0i;'--S 12i 1196 <br /> PERMIT CONDITIONSI <br /> 1) The PERMIT TO OPERATE w411 bern;,rc void if ANNUAL PERMIT Fees and SERVICE Fees are not Paid and/or the UST systea+(s) fails <br /> tr rer?ain in compliance with t'-.e PERMIT CONDITION?S. <br /> PERMIT TO OPERATE is gran{ed to the TANK OWNER who accepts responsibility for operating aw ncnitiwing the UST system <br /> according to State undergrouni stoTage tank la'es and regulationc as well as any conditions estEbl shw_•d by oa±; doaglin iraLtY. <br /> 3) The TAN: OPERATOR(S): if different from the tank owner, shall orate and monitor the ",IST syst�a accer_'in3 to i.he n1TTEt3 <br /> OPERATING A(iREEiENT rc-qJirei under Section 2S29', Chapter 6.7, Division 20, California Health arc 3afety C_-de. <br /> ') The TAtI( OWNER shall notify the Environmental Health Division of any proposed change in operation or ewnership of the U5T <br /> _y5i_em. <br /> S) Upon any change in equipment., design or operation of this facility, the PERMIT TO OPERATE kill be reviewed by the <br /> Errrronmental Health Division. <br /> 6? A construction or removal permit is required from the Environmental Healthy Division prior to any removal or <br /> change of UST system equipment. <br /> 7, This PERMIT TO UNATE shall not be considered Permission to violate any existing laws, ordinances or siatutes of otN+er <br /> federal, state or local agencies. <br /> 5) A "Conditional Permit' may be revoked if correri.inr:s are not ccmpletcd by the dates) specified cm insertion. <br /> i <br /> PERMIT TO OPERATE an LjST FACILITY issued to, EL.=;UMGRI , NAGAS G <br /> E-26 KE J AVE. <br /> RIFON . CA 9 S 3 G 6 <br /> PERMIT_, TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERA€ILE <br /> and may be . ISPENDED or. REVOKED for cause . <br /> THIS FC04 9M°.DSI' RE DISPLAYED CONSPICLkIUSLY ON THE PREMISES <br /> REf,ILA tD FALLil T:TV. "?C2 f "'.t— Aount 'D.1\i. CN -rr: i 1 ` .7 <br /> . <br /> I,iASHING7CIN Facility IO; VC10 '1_ <br /> RIPAN , CA 9.5-1366 Permit Printed, 1>_«" 1i. <br /> PILLI'116 ADDRESS, <br /> 3T N RIPi_iNA p;ARI.-.f7T <br /> a.== t.!A:=;HfNGT FIN <br />