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fl SAN JC UIN COUNTY PUBLIC HEALTI ?RVICES <br /> �. P O Box 388 STOCKTON, CA 95201-0388 • PHONE (209) 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 /> 1-0*SRAT 1 FE1'I FC& U440EhX-sktXM STCRE Tia;. FACILITY <br /> Tank Tank Permit Annual Pei*it Fee 'Valid <br /> PIE Number Record 1D Punier Capacity Contents Permit Status From To <br /> 4,;— fxT3 TMOE974 OC7934 1,003 unleaded 02 Conditional Permit 011(0136 12119V96 <br /> PERMIT CONDIT?►=iNS: <br /> i) The PERMIT TO OPERATE will become void if AKAL PERMIT Fees and SENICE Fees are clot paid and/or the system(s) fails <br /> to remairy in compliance with the PERMIT CONDITIONI. <br /> �} T!P_ FERKT TCi OPERATE is granted to the T�'a`P`. OWNER who accepts i•esponsibilit.y 'or operating and monitoring the UST system <br /> according to State underground storage tank laws and regulations as well as any conditions established by San _;oa uin County. <br /> 3) The TAW, OPERA1OR(S), if different from the tank owner, shall operate and monitor the UST =v=tem according to the WRITTEN <br /> OPERATIM AGPEEMENT required :ander Section 2S293, Chapter 6.7, Division 20, California Health and Safety Code. <br /> 4) The 'Alt. 10ER snail notify the Environmental Health Division of any proposed change in operation or ownership of the 11ST <br /> system. <br /> 5) Lipon any charee in equipwrit, design or operation of this facility, the PERt!�IT TO OPERATE will be revift.ed by the <br /> Environmental Health Division. <br /> 6) A construction or removal permit• is required froze., trie Envii-onment.al Health Division prior to any removal or <br /> change of UST system equipifent. <br /> 7) This PERMIT TO OPERATE shall not be considered permission to violate any existing laws, ordinances =_rr statutes of o.her <br /> federal, state or local agencies. <br /> R) A "Conditional Permit" may he •evoked if corrections are T!ot. ci-cipleted by the dates) specified on inspection. <br /> PERPlIT TO OPERATE an UST FACILITY issued to! OTHMAN, S, !ARA <br /> 71.3:3 VII-LA DR <br /> T)iL't::.T ON; L:A q.Si - f) f <br /> PERMITS TCC OPERATE and ANNUAL PERMT_"' FEE: PAYMENT are NOT TRANSFERAKE <br /> and rfia.y be SUSPENDED ,-,i, REVOKED f, !, cause . <br /> THIS FORK 1 .ILS T BE D I; -WfE `r + � �I C � L.`+I OWN T F7'—RF—"1 SES <br /> + # ri <br /> REGULATED R ILITY: GA'_: q{ GR Account ID: �004.h;E',0 <br /> 701 E C:HARTER 4+Y Facility ID: C)022S1'' <br /> STOC':l::;Ti N, (-:A 9s"N-ir7, Merrrit Printed0,E.j02 <br /> PTLLING ADMEN <br /> ATTN ; iTTMAN 1-"HAI_D►_i+.!!,14' <br /> 701 E CHARTER WA' <br /> =,Ti C.: :T0N, CA 9&.20 <br />