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SAN JOA"11IN COUNTY PUBLIC HEALTH SrRVICES <br />i 304 E. WEBER AVE., -MRD FLOOR • STOCKTON, CA 95202 • P. --.(E (209) 468-3420 <br />` KAREN FURST, M.D., M.P.H., HEALTH OFFICER <br />DONNA HERAN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br />ENVIRONMENTAL HEALTH <br />OPERATIkhP3 PERMIT FOR � � DEERUG . ND SJO RA 1E. TANK FA ILITY <br />Tank Tank Permit Annual Permit Fee 'Valid <br />PIE Nuritber Record I0 Number Capacity Contents Per€z€it. Status From To <br />'60 006 TASt?_'�7 W7954 15i000 keg Unleaded 01 Active Permit 0110ij":�4 1'2i�i119 <br />(107 TA505395 007955 15,000 Prem Unleaded 01 Active Permit 01/01/99 12/31/99 <br />PERMIT CONDITION'S: <br />1) The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees any SERVICE Fees are not Paid any/or the UST system(,) fails <br />to remain in compliance with the PERMIT CONDITIONS. <br />) The PERMIT TO OPERATE is granted to the TANK. OVER who accepts responsibility for operating any monitoring the UST system <br />according to State underground storage tank laws and regulations as well as any conditions established by can Joaquin County. <br />The TANK OPERATOR('=), 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 6.7, Division 20, California Health and Safety Code. <br />4) The TANK: OWNER shall notify the Environmental Health Division of any proposed change in operation or ownership of the ULT <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 />f) 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 considered permission to violate any existing laws, ordinances or statutes of other <br />federal, state or local agencies. <br />W. <br />PERMIT TO OPERATE an UST FACILITY issued to, SHELL FI I L 0 <br />F'I-I Ea_I X 4 0 ,12 <br />CF-INCORD, CA 94.522A <br />PER IT'S, TO OPERATE a}•,-i!d ANWAL PERMIT EEE PAYMENT`:" MENT'_ s+. -pe NOT TRANSFERABLE <br />i i aY-::ir•r� �ir7 r) ii..; r� t€,!':. i1 fill'' al <br />.s`€ it_., rye ._ _ =r_N E� _ RE r E c.'.4se. <br />TFC I S FORM KjST BE D I LAVED CCWSP I CUOU^ILY ON THE: PREM I S ESQ <br />Al. #: <br />RE& ATED FACILITY:. 4)ATEnLi II_I SHELL Account ID, 0€,0419 <br />4:31S WATERUDiD RD Facility ID: 003631 <br />S�TOCKT€_ N , CAP ��X-: Permit Printed: O6/03/99 <br />BILLING ADDRESS: WATEFUDC—I ,HELL <br />,4 1S, IJATERLI al l RD <br />lSTO :k:.TI_N, CA'_-iS2("I . <br />