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SAN JOAQL' COUNTY PUBLIC HEALTH SET' ICES <br /> P O Box 388 • *916CKTON, CA 95201-03M • PHONE (1"465-3420 <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 /> QVERAT: P rt'I"CIT R—JR 5 ti ,. » 'STS i TAW', FACILITY <br /> Tank Taik Permit Annual Permit Fee ,valid <br /> PiE 'iurttq---r R:ocord ID Number Capacity Contents Permit Status From To <br /> W— On.3 TA181803 403484 12,040 Unleaded 02 Conditional Permit 0114119? ;2131197 <br /> 2 v 004 TAIBIO04 003481 12,000 Unleaded 42 Conditional Permit 0110197 ;2/31/3? <br /> PERMIT CONDITIONS: <br /> 1The PERMIT TO OPERATE will become void if NNW.& PERMIT Fees and ' Rv'ICE Fees are not paid andlor the UST systeii(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> j, The PERMIT TO OPERATE is granted to the TANK OAER who accepts responsibility for aerating and monitoriII the UST system <br /> accordirng to State underground storage tank laws and regulations as well as any conditions established by San Joaquin County. <br /> 3) The TAW OPERATORS:"; if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING AGREEMENT required under Section 25293, Chapter E.7, Division 20, California Health and Safety Cede. <br /> 4) The TANK OVp;ER shall notify the Environmental Health Division of any proposed change in operation or ownership of the UST <br /> system. <br /> 5) Upon any change in equipment, design or operation of this facility, the PERMIT TO OPERATE 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 equipment. <br /> 7; This PERMIT TO OPERATE shall not be considers] permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> 8) A "Conditional Permit" may be revoked if correctia% are rbot completed by the dates; specified on inspection. <br /> PERMIT TO OPERATE an UST FACILITY issued to; BLINCOE , E F « BLINCOE, H & JR <br /> 24:1 E MARIPOSA RD <br /> STOCKTON, CA 95205 <br /> PERMITS TO OPERATE wid ANNUAL PERMIT FEE PAYMENT'_ aI'e NOT TRAng_:FERABLE <br /> arid may be SUSPENDED oy' REVC1F:ED fo?, cause . <br /> THIS ELAN MUST BE DISPLAYED 010WICLCUSLY (N THE PREMISES <br /> REGULATED FACILITY E; <br /> J j Account IN 0003120 <br /> 92"1 E MARIPOSA RD Facility ID; 00354, <br /> STOCKTON, CA _5 21 Permit Printed; 03/28/97 <br /> EIL c RG ADMC%S; 8 J T COMPANY INC <br /> 2421 E MARIPOSA RD <br /> STOCKTON, CA 9521'3 <br /> 1.t I <br />