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VICES <br /> SAN JOA( COUNTY PUBLIC HEAL SF�L' <br /> P O BOX 388 TOCHTON, CA 95201-0388 1W <br /> ) 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICES <br /> DONNA HERRN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> CpERASTORAS,F TAt p,1 FAC`FB. TTV <br /> TIp� PERMIT FOR t I <br /> Annual Nc flii itC Sdti4 <br /> 7ar� Tank Permit From Tr' <br /> P!E tLabel Record ID qumber Capacity Contents �lot-Status <br /> J1l9 i' S 12's'!y5 <br /> I)DI TA1907O1 :N4834 .,O(l <br /> PERMIT CONDITION'ot <br /> 1) The PERMIT TO OPERATE will become void if AWI JAL PERMIT Fees and SERk!ICE Fees are rot paid andlor the i!•T SystM`fs) fairs <br /> to remain in coaPliance with the PERMIT CONDITIONS. rT sr <br /> _2) The PERMIT TD OPERATE is granted to the TANK 0140 who accepts responsibility for operating and muni ;;r:ng the LIS steifi <br /> ;) accordingNK toState <br /> underground <br /> storage <br /> Ent tank <br /> t�e laws anOwner, ulation as well <br /> as �Itolly wthetliSTssystemlacco9d ng to the by 13,an QWIT ljlrl tynt.y. <br /> OPERATING AGREEMENT required under Section 25'29;. Chapter f;.7; Divi_irm 20, California Health and Safety Code. <br /> 6) The TANK MER stall notify the Environmental Health Division of any Proposed change in oPeraticn or ownership• of nh. "T <br /> system. <br /> 5) Upor, any chafrge in equipment, design or operatitm of tnis facility, jF_ PERMIT ?G OPERA E will I),, reviewed .y the <br /> EnvironnEntal Health Division. <br /> h) A construction or removal Permit is required from the Environmental Health Division prior to any ie§n vai or <br /> change of UST system equiprient. ordinances or statutes <br /> 7) This PERMIT TO OPERATE shall rot be considered permission to violate any eyisting laws, of etker <br /> federal, state or local agenciEs. <br /> PERMIT TO OPERATE an UST FACILITY issued to; PHILLIPS AUTO CARE <br /> MOFFY:T BLVD <br /> AN;FC:A, CA D.E <br /> PERMIT-. TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may t-e SUSPENDED or REVOKED for cause . <br /> 'THIS FOR" CST BE DI 1YEE CL-"-- IGiitll�Y O1 THE PREMISES <br /> Account Q; +Y,-iCt:=+3F,: <br /> REGULATED FACILITY; F'HILLiF"=: AUTO CARE Facility ID, 0o37c'-'<: <br /> 1003 M+FFAT BLVD permit printed, C)Oi'11 !'�5 <br /> MANTEC:A , CA 953'F, <br /> BILLING ADDRESS; " <br /> rr{ILLIr _ Htl-iO CARE <br /> ATTR GFORGE PHILLIPS <br /> Ic) )_' ei )FFAT BLVD <br /> MA`dTECA , CA 953::c, <br /> 0 0 <br />