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SAN JOAr"TIN COUNTY PUBLIC HEALTH SF"VICES
<br />304 E. WEBER AVE.,), n(RD FLOOR • STOCKTON, CA 95202 • Ph_.F_ (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 />7E r T I FIER 1 T. ! T''��s., AZE T-+ ti. FACC1,11LITY
<br />Tarok Tank Pei'EEtit Annual Permit Fee Valid
<br />PIE Number Record I+3 Number CaTracity Contents Permit Status From To
<br />i�`JO 00E TASO-5387 007954 15,000 RE -3 Unleaded 01 Active Permit ni10,1 .3 iy-ii4•._:
<br />() }? T�i.'tE}-�:i _f )79 0 ifs r Unleaded r F' } r i f. i}I ri} 1 i' 1' 1 !'ar'
<br />C. Ot i_55 1._,., .. P:eEl� tlea e 1 Active e.:rt_. r 1 $ .
<br />PERMIT C:E�IND I T I IN,:
<br />: _
<br />F �'� OPERATE r - - - ; 5- ^
<br />l hC PERMIT TO ►_PERATE wil' beci-xe void if ANNUAL PERMIT Fee, anE} :ERVICE r,_ec are not uaiu an.dffar th :}:=t syste►i?t�j falls
<br />to remain in compliance w1th '.he PERMIT CONDITIONS.
<br />-
<br />z.} the PERMIT Tli OFERA!E �� granter tr, the TAirr'. OfIvER waho Accepts responsibility for operating aDd monitoring the U`T system
<br />according to State underground storage tank laws and regulations as we'll as any conditions established bya!i Joaquin County.
<br />:3j The TAW OPERATOR(S), if different from the tank owner, shall operate and monitor the !QST system accor,:;ing t.c, the- WRITTEN
<br />OPERATING AGREEMENT rewired unflner Section 24253, Chapter 63: Division 0, California Health and Safety Code.
<br />I St TANK OWNER flail rd,t.it'� 1h;� �`tYir[,?lEItC'ilt.al 4iP�lt!! �7'Ji iii4} ref lily CritCi,_�je,! L att�e t!� i,F` 1'atir,T1 _,!' t,iknel'�h1�' S,t t•he 1 f
<br />system.
<br />Sj !1r'c}n any change in equipment., desisin or operation of this facility, the PERMIT TO OPERATE will be reviewed by the
<br />Environmental Health Division.
<br />C+j A construction C,r removal perm" is required from It -he Environmental Health Division prior to Any removal or
<br />_ change of UST system equipment.
<br />!j
<br />This PERMIT OPERATE _ha_'_ !_t• E ns.� red permission to violate any e•:istinq laws, ordinances or stat.4�tes of other -
<br />federal,
<br />F T TO T 1. not ��Y ro i„�
<br />federal, state or local agencies.
<br />PERMIT TO ' PIRATE an U,S' FAC ILITY issued to: S c E LL '-J I L C:i E
<br />PID BOY A E j'?:`::"
<br />C:0NC:0RD : i_ A '3-1 fir2'41.
<br />G.'�'C 1 I T'-: TE.E E F'Ef ;ATE vy'!-,� F't4'i4:li_1;1 F'r!:i4� i T FEE
<br />: PAYMENT' 4 r p 4<�E_!T TRA I ER ABLE
<br />+
<br />!- + `
<br />ilk-'"+-;_!:_;�'F4`y! )ED ,�v';'• F�'�yli•;.F`.) � ,-i1"• i :_it,,iCi � .
<br />T ', h ',•i `K 5t ii`371 r e:i ii r s T
<br />'(d-f{,�'�,; � E!_^� :: n 4p...�. t - �' II :_r�•�'�.I':, � _ ���' � `��:.fi -"`�L 1� 0 -JON t: 4
<br />REGULATED FACILITY, 40ATEIRLCICI=;'..HFi-L. Account ID; ON—;+3415
<br />4:31S t,JA r1[;°LE !C } F;D Facility IO: Cdj*383i
<br />T0rC "T0N , C:A Permit Printer: 03/18/98
<br />BTLLIh� ADDRESS: _ HELL I I L C::CI I NC:
<br />ATTN : i;'4.L E ADMIN :4rt_!P A(JRA MATT I'S;
<br />PFI I Ec CI A C,
<br />MAI -;TINE +CA' A! -I!
<br />I 4'
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