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t„ SAN JOAQW. COUNTY PUBLIC HEALTH SE,� 7CES <br /> P O Box 388 • 5 troch';rox, CA 95201-0388 • PgorrE M.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 /> OWEMTI�% SIT FUR U*�ROCWD STORAGE TAW FACILITY <br /> T am Tank Hi'a1' -erriil• f-et <a_ <br /> P;E _ `�u.:!h:e,• Record Ii? Number Capacity contents Permit. itatus From To <br /> -= t'Cr ?A 17350 0032.3 8,NO Unleaded 02 Coroditional Permit. 01i0i/97 <br /> t!�+- T l�^ i�� t�3_ �t� Ifa.�tu1 tfileadej 01 Artive Permit �iicili°i7 <br /> t! :�t� TAlU35c3 taj3$ t 1n � 1 l ilea�ded ?t Acti;�e Permit U01/17 <br /> PEhMIT C-*0 DITIi::tNS <br /> ') Trie PERhIT TO (PERA,TE will becc4f* void if A10JAi_ PERMIT Fees and 'ERVTCE Fees are not paid and/or t•hp �`..; faii=.. <br /> -'emain in with the F'ERM-T 0XITICN'3. - - <br /> -') T!:e PER,iTT (t1 OPERATE is granted to the TANK OWNER who accepts responsibility for operating and mor:ator}-Fig rt;e --.I systea'l <br /> according to State underground storage tank 'laws and reg-ulations as well as any conditi;ris established by 9--an Joaquin <br /> _1 Ti--- IANC O ER�!T+R -D, if different frrdN the tank r'rier, --tall_ Grate am' mirnitor the (C-T system accordiT�g t.0 .„"_ '' T f`` <br /> ?PERLTINT AUREE#IEENT required unJer 'section 25193, chapter 6.7, Division 241, California health a,�d 3afet•i Code. <br /> i Tree TWN C4NER shall notify t-h:e Envipormtent•al t�-alth Division of any Qruposed [hanw in Operation Or ownership of L w U� <br /> =vt+,erg. <br /> ;_�i�r� arty mange in equipperit, �'e51+�1 C'P '�J;ration of this facility, thF 'EMIT Tn OPERATE will to reviewed by the <br /> Environmental Health Ilivision. <br /> c? A construction or reR�+val pera,it is required from the Environmental Health Division. prier to arty remo I �:�r <br /> oname of UST syst?va equipment. <br /> T: This PERMIT Ti CFERATE shall not be considered permission tea violate any exi5tin3 lays, ordinances or statutes of ov'rer <br /> federal, state d,' local egersc iss. <br /> 8i A 'Cond-itional perfaV may be revoked if cc-rrections are rN?t cor4 leted by the date(s) specified or, inspection. <br /> P i T�} 1"_?P T VS T' �,; n t:i-i Fe'1-?4 i1.}•-: ( r; �'f t <br /> ERtiI ERA an aT FACILITY issued t_ N. . _ !_ ._. t <br /> AF,TEr"1 A GA a7C!2__..r,.�.1 I <br /> IF'EMIIT' TO C-PERATE ai-),:j Nh'"lh UAL FERMI i FEE PAYh�EN ' Et` t%i!;T TRA111cF'ERABLE <br /> a!�d rr:ay t-,e cr F?E.V011"ED r c-r c atus e, <br /> THISR T BE 0I%, kAYEID "— IC=UL 's' ON THE PREMISES <br /> R+EGULATEC ?ACIi_IiY: ARI::Ci FAC-111y`{ 1_,M,,: Addcunt ICS; 00"'Y294'11 <br /> .VA <br /> Apomme—br-'WIFC A ST j Facility iii. 006773 <br /> =_:Tt�►i:i.::T!W4N, -A Permit. Prir{ted 031-NE/9", <br />