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SAN JOA COUNTY PUBLIC HEALTH S&VICES <br /> P O Box 388 S ocicToN, CA 95201-0388 • PHONE ) 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 /> LF 1TITl6 PERMIT FOR UNDE'R6'EiX*0 STORAGE TAW, FACILITY <br /> f <br /> Tank Tank Faris_ Annual Perait = <br /> P" Monter _ Record ID Fhimber papa=i Ly -_- ,it. Status _ From — -- _- <br /> 2R+t A1d2701 Cv- 1,OQD nleadei GI Rctive .ermi Itl! lfy.- 1?/31/i5 <br /> PERMIT CONDITION <br /> Cl The PERMIT TO OPERATE will become void if ANNUAL. PERMTT Fees and SERVICE Fees are not paid andfor the i1ST systems) fail= <br /> tO remain in compliance wits: the PERMT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to 'use TANK LWNER who accepts responsibility for operating and r3onitaring the 1,. system <br /> according to State underground storage tank lags and regulations as well as any conditions established by San Joaquin county. <br /> he TANK OPERATOR(S), if different from the tank owner, shall operate and monitor the UST syste;l accOrding to the WRIT?6N <br /> _ OPERATIIj3 AGREEMENT rerwired under Section 25293, Chapter 5.7, Division 20, California health and Safety Code <br /> s) The TAW OWER shall notify t.hz Environmental Health Division of any proposed change in operatian Or owners, of the UST <br /> system. <br /> S) Upon any change in equipment., design or operation Of this facility, the PERMIT TO OPERATE will be revs>wed by t. <br /> Environmental Health Division. <br /> } A construction or removal permit is required from tkhe Environmental ealth Division priar to any removal or <br /> change of tCT system equipment. <br /> 7) This PERMIT TO CERATE shall not be considered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> PERMIT TO TERATE an UST FACILITY issued to; TEDPETER' T POi _*'+I NG t_i_1 F rNY <br /> IIj Yo._.FMITE <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause . <br /> #. # # # t 4 <br /> THIS FORM MIST BE Dlq, .RYED CONSPI ISLY [44 THE PRf $fISEG <br /> +P r A <br /> ^. r31LAEn FAC �ITY; iE'�.J C F'E I ER:S TRlC ::.IJG CC iPAPY Acount iT11:; oC.Q+y,f,-=,,2_ <br /> ; YOSEMITE Facility 151 00 <br /> I . <br /> =.. <br /> MANTECA , 5.;3=;r, Permit Printed; Cr3 i 1 ; _ <br /> BILLING ADDRESS; <br /> TED PETERS TRtjC:KINr C:f1MF'ANY <br /> ATTN DAVID PETER'=; ETAL <br /> P!:1 BCtAX 8:3.1 <br />