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' SAN JOfUIN COUNTY PUBLIC HEALTIORVICES <br /> P O BOX 388 • STocHTON, CA 95201-0388 • PHONE (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 �y S -ITY <br /> aLal"94n ';j 4AiARMSE lA£Y+:. PAU J.(._IT <br /> Tank Tar& Fermii Annual Permit Fee Valid <br /> P/E Nraher Record ID Number Capacity Contents — Permit Status From To _ <br /> 2?80 010 TA116510 0074?0 10,00) Unleaded 02 Conditienel ermit oli'?il'il 12/31/37 <br /> 2380 Gil 7A1165111 007471 1,000 Unleaded 02 Conditional Permit O1iOI/97 12131/37 <br /> 2380 O(mi TA116506 007473 10,000 Unleaded 02 Conditional Permit 01/61/97 12/31/97 <br /> PERMIT C:i iNDITIONS <br /> D The P'ER'MIT TO OPERATE will become void if 404itAL PERMIT Fees and SER4'ICE Fees are not paid andior the !IST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TAM( OWNER who accepts responsibility for operating and monitoring the UST system <br /> according to State underground storage tank 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 the WRITTEN <br /> OPERATIN[ AGREEMENT required cruder Section 25293, Chapter 6.7, Division 20, California Health a Safety Code. <br /> 4) The TANK OWNER shall notify the Environmental Health Division of any proposed change in operation, or ownership of the trST <br /> system. <br /> 5) tipon any change in [�uipment, design or operatimi of this facility, the PERMIT TO i-PERATE will be reviewed by the <br /> Environmental Health Division. <br /> 6) A construction or removal permit is required from the Environmental Health Division prior to any removal or <br /> change of UST system er-raipment. <br /> i) This PERMIT TO OPERATE shall not to considered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or Iocal agencies. <br /> B) A "Ctmdit.ional Permit' may be revoked of corrections are not completed by the dates) specified on inspection. <br /> PERMIT TO OPERATE an UST FACILIT? issued to; CIA DEFT OF DEVELOPMENTAL SRVs, <br /> 1600 NINTH ST <br /> SACRAMENTO, CA 96814 <br /> PERMITS TO OPERATE acid ANNIJAL PERMIT FEE PAYMENTS are NOT TRAN' :i ERACLE <br /> anumay F,e ' ;U SPENDED crr REVOKED fGF` cause . <br /> ' � THE P;E I STMS Ff.' M.kST 0i <br /> + 1 u L 4 <br /> REGULATED FACILITY: S:TCiC::TON DEVELi-iPMENTAL CENTER#' Account. ID: 00"'ro5s <br /> .51i= E MAGNOLIA Facility ID; 004023 <br /> STS�CKTi�N , CA 35202 Permit Printed; 09/02/97 <br /> BILLING ADDRESS; CA DEFT OF DEVELOPMENTAL =SRV:: <br /> 1c,nrr NINTH '_'T <br /> SACRAMENTO, CA 95314 <br /> :14 <br /> 4 <br />