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SAN JOAq COUNTY PUBLIC HEALTH SIaCES <br /> P O Box 388 • Tocwrroiv, CA 95201-0388 • PBONE ( 09) 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 /> IPMTIRNrS P.91MIT FER t_. t XI- ,: c S o' ti=, FACILITY <br /> Tank Tank Permit Anruai Permit Bee '4alid <br /> HE Number cord iD Nkimber Capacity Conterts Permit Status From _ To <br /> 2:_rot UO! TA2335i 004516 1;060 Waste Oil ill active Permit1 a; +?r3,'�7 <br /> PERMIT CONDITIONS: <br /> 1) The PERMIT TO OPERATE will becovc void if 4W*JAL PERMIT Fees and SERVICT Pecs are not paid and/or the iNT system(c) fails <br /> to resin in compliance with the PERIIT CONDITIONIS. <br /> 2) The PER'IT TO OPERATE is granted to the TANK EVER who accepts responsibility for aerating and monitoring tree UST system <br /> according to State underground storage taj laws and regulations as well as any conditions established by San Joaquin C_ijpt.y.. <br /> The T4W OPERATOR(S), if different from the tank owner, shall operate and monitor-- the (ST system according to the WRITTEN <br /> OPERATING AGREEMENT required under Section 2529$, Chapter 6.7, Division a0, California Health and Safety Code. <br /> 4) he TANK OWNER stall notify the Environr;,cntal Health Division of any Pro~osHa change in operationor ownership orf the UST <br /> system. <br /> 5) Upon any change in equipment, deSjgn or aeration of this facility, the PthHIT TO CFER'ATE wiiI to reviewed by the <br /> Environmental Health Division. <br /> 6) A construction or remover permit is requirE--j from the Environmental Health Division prior to arry removal Or <br /> of UST system equipment. <br /> 7) This PERHIT TO OPERATE shall not he considered permission to ''violate anY existing laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> r 4 a: y p <br /> PERMIT TO OPERATE an UST FACIL ITV issued t-,: BR0ADBASE INC <br /> 3189 DANVILLE BLVD #' 7i! <br /> ALAHO, CA 94507 <br /> PERMIT:; TO OPERATE ai td ANNUAL PERMIT FEF PAYMENT:: ar:= N,iT <br /> TRANSFERABLE:- <br /> nd niaY L,e 31 P-PENDED c r REt OP'ED f r_rr c zk�.4,i- . <br /> _t� . <br /> THIS FO T BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> REOJLATED FACTLI?Y; JIFFY LIQ,E Acciimt iDi 000:1320 <br /> f FatilitY In' +10,741 <br /> Permit Printedt 04!01157 <br /> BILLING ADDRESS; JIFFY LiIBE <br /> ATTN , BR,0A0EA:�E IN+_ <br /> 318_1 DANVILLE BLVD # _7t) <br /> ALAM�� , CA. 94.5C17 <br />