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SAN JOA*T COUNTY PUBLIC HEALTH S&VICES <br /> P O Box 388 • STOCKTON, CA 95201-0388 • PeoNE T59) 468-3420 <br /> ERNEST M. FUIIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> OPERATING PF"IT FOR '.'41DERG # STORAGE TAW FACILITY <br /> Tank Tank Permit Annual Periiit. F e Vaiid <br /> piE Number Record ID Number CracitY Gon eats F•ermit status r- <br /> F om :o <br /> 2SRi) v0i 1A149801 004932 ?i1,0V0 LMleaded 02 Condltitnal Perr;it. Q1%,01;j5 121;'7972''_ 002 T4.:4'+8(i2 004933 10;000 Unleaded 02 Condit.inn,i Permit J'/.,j-I9.5 12 oi'95 <br /> 2^80 003 T4,14°S03 004935 5,0(N) Unleaded 02 Condi.tion.'. remit 61 i, ;P <br /> PERMIT CONDITIONS: <br /> 1) The PERMIT TO OPERATE will become void if 4INN SAI. PERMIT Fees arrd SER4'ICE Fen=_ are not paid andi_r tte !-!ST systems) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TANK OWNER who accepts resp•_:nsibilitY for npera+.iig and monitoring the UST sistef, <br /> according to State underground storage tan, laws and regulations as well as any conditions established by San J�oaauin Cir, <br /> ;r_ <br /> 3) The TANK OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br /> !DERATING AGREEMENT required under Section 25293, r apter 6.7, D;vision 20, California Health and Safety Code. <br /> 4) The TANK OWNER shall notify the Eriviroimwntal health Division of any Proposed cti n e in operation or ownership of t.f,e <br /> System. <br /> 5) Upon any change in equipment., design <br /> Environmental Health Division. or operation of this facility, the PERMIT TO OPERATE will be reviewed b,. the <br /> E) A construction or removal permit is required from the Environmental Health Division prior t any removal or <br /> change of UST system equipment. <br /> 7) This PERMIT TO OPERATE shall not be coi?sidered permission to vitiate any e:=:fisting laws, ordinances or statutes of ttner <br /> federal, state or local agencies. <br /> 8) A Txinditicmal Permit" may be revt,ed if corrections are not completed by the dat_fs:; specified on i%. pect•ioii. <br /> # t: # } t F <br /> PERMIT TO OPERATE an UST FACILITY issued to, SIERRA' ° TFW BAIT I TA, <br /> 1;.1:3 E YOSEMITE <br /> EDCALON, CA 2,0, <br /> P'ERMIT'S TO OPERATE And ANNUAL PERMIT FEE PAYMENT'S are NOT TRAN'SFERABL: <br /> and may be SUSPENDED or REVOKED for cause. <br /> THIS FORK W)ST ERE DISPLAYED CONSPICLAXiSLY ON THE €REMI 1E ,, <br /> 4 # A: a 4: # <br /> REriULATEOFACILITY: =;TERRA VIEW BAIT g, IAC:E:::LE Account. I-D; i-W0j''+ <br /> 1 1:3 E YOSEMITE r 4I7ty TC; ( '1'-'I:Y - <br /> F_SCALON , CA 9.5 3C! - ', <br /> Pei•m,ir c, : : intr<i, i, ' J9.S <br /> 8I:_LING ADDRESS; <br /> SIERRAVIEW BAIT °, TAGr::LE <br /> ATTN, '::TERRA VIEU BAIT & TACKLE <br /> 1 13 E YOSEMITE <br /> - - <br />