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CES <br /> SAN JOAIN COUNTY PUBLIC HEAL 46s 3420 <br /> P O Box 311$ • �pCKWN, CA 95201-0388 <br /> FFICER <br /> ERNEST M. FUJIMOTO, M.D., M E I ONMEN ALAHEALOTH DIVISION <br /> DONNA HERRN, R.E.H.S., DIRECTOR, <br /> ENVIRONMENTAL HEALTH <br /> FM MMRffi0jW 3-rMNGE TAW, FACILITY <br /> w] stTI6 IIT <br /> An^ual Perm t Fee Valid <br /> Tank Tart permit. PerNit Status —_ . From Io <br /> Muber Capacity <br /> Contents <br /> stents A� Cormitionel Fer ,it blliit;y7 i?%31 y7 <br /> P/��heT FTA225 i6 {. leaded 4� <br /> 23 C psE TA225 C4 19' 6t Conditicrwl permit <br /> ;{i7 TAL153J7 �udt51 fi,4Cu Unleaded <br /> PERMIT CONDITION'S: <br /> it�e �,l�t 5Y5tem1.1 fa' <br /> is. <br /> 1? The PERMIT TO OPERATE will became void if WIAL PERMIT Fees and SERVICE Fees are not Paid andlor ` <br /> to remain in compliance with the PERMIT f�-MITIONS. <br /> i) The remain <br /> PERMITO OPERATE is granted to MITtle TAN! OWNER who accepts responsibility for operating and wenitorim3 the UST system <br /> according to State <br /> underground storage tank laws and reNlaticns as well as any conditions established by San Joaquin County. <br /> 3) The TANK. OPERATOR(S), if differert fres the,tank nm +zrh�ll, Oivisionte 2D CaI fornix'?NTaithtand em 35afety roccording de <br /> .t he tN <br /> oFERATING AGREEMENT required under Section 5293, <br /> d? The TAWY rwNER shall notify the Environmental Health Division of any proposed change in operation or ownership of thia UST <br /> 5J system. change in eyuipmeni , design or operation of this facility, the PERMIT TO MATE will be reviewed by the <br /> Environmental Heaith Oivision. <br /> 6) A construction or removal WiAit, is required fres the Environmental Health Division Prior to any renhovai or <br /> chetxe of UST system equipment. <br /> 7? This PERMIT-TO 6'ERATE shali not be considered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> 8? A "Conditional Permit" slay be revoked it corrections are not c-4"Pleted by the dates? specified on i!spectirn. <br /> y _ # 4' 4 <br /> PERMIT TO OPERATE an UST FWI!ITV issued to; PHIL_TP, MATHE�ai.rAME' <br /> 3. <br /> ls'K,I E ML PO: A RD <br /> ::TC r_'r:TON, CA �5y1S <br /> PERMTT`: 70 OPERATE and AW,,'UAL_ PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> b, SUrPENDED or REVOKED for [muse . <br /> s <br /> T"I' PIP" NjST BE DISPLAYED CC IC 1SL5i ON THE I�S <br /> c F: E,d�al•,ILLE ,1A�t:ET t, CAFE+ Accaant 16: (YXI14% <br /> RE�A„TEG ACI TY: q AARiPOSA RD Facility Ir;, rw'Id57 <br /> r;C:};:T,7Pd, CA 5t)c, Pert it Printed: 0^/_3'97 <br /> u?LLIN6AD6RESG; C:C".LEfF"ILLE rtARt::ET & CAFE#: <br /> i352i E <br /> MARIPOSA RD <br /> =,TUC:k, uP.t, C:c, D&C0S <br />