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ES <br /> SAN X)A(dN COUNTY PUBLIC HEAL468-3420 <br /> � <br /> P O BOX 388 q'OOKTON, CA 95201-0388 <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 /> _ _ -- - <br /> ITy <br /> 4L�^_f-hCP�,4i:.� SY-�~t:.:4 <br /> °J <br /> Annual Par@it fee ball's <br /> f' r.uli ':tat-us Frt.15 j <br /> 01/01/9 12!'i1/97_ <br /> PERMIT CONDITIONS! ;r c <br /> T PERm717�T TC CPERATE will beccaue void if A ICTAL PERMIT Fees and SERVICE Fees are not paid anl.,or t„- T:t systew(s; fall <br /> re�,air: '.T, atar•liance tgith the PERMIT CONDITIONS. <br /> rEF""IT T OF'ERAT i5 •�rarted to the TANK 'AER whr' aCCrFt- rrsp�^5iblllt• t:rr operetlr3 8Th: m0niii-ring the tC, systen <br /> 3rdlni t^. State underground 5tJ"a•ie tank laws and rewlaiierS a5 well as any 10116t1Cn5 9stabliched by 'a :?a}'Jin i�fit�. <br /> he TANK OPERATORS?, if different frcFA the tarA owner, shall operate and iuoniior' the UST system acocrdirrg tc� tte taPiTTEN <br /> _'�FERATING AGREEME'?T required uTmer `Sert:,,n 2529:+, Chapter h.7, Division tt, California Health and afety {ede. <br /> 4.1 The TA"dK: O»RdEn stwl_1 notify the Er:.direnr ntaa Health Qiai5ion of any proposed change In operation or 010ner'5hip Of the U •T <br /> 5 st_t:. <br /> 5) i;porl arty chance In equipment., design or operation of '�iis facility, i e PERM TO (PUATE will be reviewed by the <br /> E-1-w.m=eentai Health Division. <br /> is fo01t 15 'featured fHo the Envuonmental Health viYl5iC1n prior t0 any r2ii'Ivval lP <br /> 6? A iDn5lrlL ..on r;!• Tgvai per'i <br /> Change of "Y71.. system equlr4i:ent. - <br /> /., TF:?= r' 1 Ti! {I HATE shall nr't. L� ConSider'ed .6i_5510^ tr, vlclate any e::lstl'fra laws, i-rdlnari:e5 !'r statute.. <br /> PErM"T PE' - �° ' <br /> f.de—1 , =tet=• or local agencies. <br /> ;- T T= , PETERSTRIiC%.::ING COMPANY <br /> PERmIT Ti nvER T� tK <br /> MANT ECA, CA SIS <br /> PtjIT..: Ir _ h?Tr Y.I-1[l ANNUAL PERMIT i r PAYMENT,--' <br /> GP'r'ED F.E`YtOKir-V f- r C&4se <br /> eit rr.aY <br /> ,TH <br /> &S jLAyEEo Tt�Wt zz IC'49?CISLY O!i TIS P- I—EIS <br /> ,....rr, ITY; TI-0 PETER' <br /> T f'.1.is L..IA-i imc' lip` Arc �tlnt 1u� <br /> r 101t_L'f <br /> -W YOSEMITE Facile+/ 1D; 003336 <br /> ,S + Perhrii Printed 113124/77 <br />