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SAN Jc:UIN COUNTY PUBLIC HEALTWERVICES <br /> P O Box 3 • SroKToN, CA 95201-0388 • PH (209) 468-3420 <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 /> OPERATING PERMIT FOR UNDiEF GRO M STORAGE <br /> Tank: Tank Permit kroal r'ermic. Fe? vaiio <br /> P/E Number Record ID Number capacity Gentents Permit. States wort, _. <br /> 23N 824i O 4 ---r 'al -t' <br /> x - tvPit 1;11 _ <br /> PERMIT C:ONDITIi_rNS3. <br /> i) The PERMIT TO OPERATE will become void if At�NtAL PERMIT Fees and SERVICE Fees are not Paid andior the UST sysiem(s) fails <br /> to remain in cobipliance with the PERMIT CONDITIONS. <br /> ^' The PERMIT TO OPERATE is granted to the TANK OWNER who accepts responsibility for operating and monitoring the !ST system <br /> r; <br /> according to State underground storage tank law=_ and regulations a5 well as any conditions established by San Joaquin Courts <br /> ^! The TANK OPERATOR(S), if different from the tank owner. shall operate and monitor the VST system according to the WRITTEN <br /> OPERATING AGREEMENT required rider Section 252SS, Chapter 5.7, Divisi_r, 2O, California Health ar++ Safety Cod=- <br /> 4) The TANK( OWNER shall notify the Envirormental Health Division of any proposed change in operation or ownership of the l ? <br /> System. <br /> 5) Upon any change in equipment, design or operation of this facility, the PERMIT T4 OPERATE will be reviewed by the <br /> Environmental Health Division <br /> G) A corr5truction or removal permit is re:pired from the Environmental KlealtA Division prior to any removal or <br /> change of UST system equipment. <br /> 7) ?his PERfl1T TO OPERATE shall rti�t he considered permission to violate any existing iaw�s, ordinances or statutes of other <br /> federal, State Or local agencies. <br /> PERMIT TO OPERATE an UST FACILITY issued to; EAST BAY hil.NIOIPAL UTILITY D'_T <br /> Pi� Bn;x ,_:9.:;.45 MAIL STOP :C)=! <br /> 0AK--L AN01, Cry 9462:3—1 X745 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENT'S ar;= NOT TRANSFERABLE <br /> and may be SUSPENDED or REVi_iKED for cause . <br /> THIS F€ • KjST BE 10ISpLAVEE^ C~—i, JSLy cN THE PRE ISE. <br /> '.lSAccount l0. <br /> PEULATEDF4'ILITY; VER FISH . =TC.HF"'v <br /> �`- - <br /> MCINTIRr ,n Facility ?D; E_:rCLE _; t;� <br /> ` - Permit Prirt.ed; 0 / 1 i "Di <br /> BiLLiNG AD"GEST; <br /> iipolC:ir'rd_ tI i ILIT`` <br />