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1:4 <br /> SAN JUIN COUNTY PUBLIC HEALTRVICES <br /> . <br /> P O Box 3g��i STOCKTON, CA 95201-0388 • PHO (209) 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> C DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> OPERATING PERMIT FOR UNDERGROUND STORAGE TANK FACILITY <br /> Ta��k Tangy Pe€mit- Annual Permit. Fee Valid <br /> PIE Number Record ID :fir Capacity Contents Permit Status Froi, To _ <br /> 2315 021 TAIM- 21 GfM6641 20,000 Diesel 02 Corditional Permit 01/01/95 12/31/95 <br /> 2315 022 TAI89R-22 W6642 20,000 unleaded 02 Conditional Permit 01101/9S 12/31195 <br /> 2315 023 TA1189823 006-644 20,( unleaded 02 Conditional Permit 01/01/95 12/31195 <br /> 2315 0'24 i rz;9S24 006645 20.=000 Unleaded 02 Conditional Permit. 01/01/94 12f31/95 <br /> 4315 02S TA18982S 006647 12,000 Diesel OIL Conditional Permit 01/01f9S 12/31/95 <br /> X315 026 TA13 26 006649 12, 30 Unleaded 02 Conditional Permit 01101195 12/31/95 <br /> 2315 027 TAIM- 27 006651 12,000 Diesel 02 Conditional Permit 01/01/95 12/31/95 <br /> PERMIT CONDITIONS: <br /> I) The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SERV&CE Fees are not paid and/or the UST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> r) The PERMIT TO OPERATE is granted to the TANK OWNER who, accepts responsibility for operating and monitoring the UST system <br /> according to State underground storage tank laws and regulations as well as any conditions established by San Joaquin Canty. <br /> D The TALC OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING ACftEEMENT 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 gyration or ownership of the UST <br /> system. <br /> Upon arty 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 10 OPERATE shall riot be considered permission to violate any existing laws, ordi-Lances or statutes of other <br /> federal, state or local agencies. <br /> ) A "Conditional Permit' may be revo't;ed if corrections are not completed by the date(s) specified on inspection. <br /> 4 + <br /> PERMIT TO OPERATE an UST FACILITY issued to! SHARPE L AGI_;T I C':-% AGENCY <br /> ROTH Rrj <br /> LATHROP, CA `_ <br /> �&3,30 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> THIS FORM MUST BE DISPLAYED CONSPIL 1SLY ON THE PREMISES <br /> REGULATED FACILITY :S;H tF;R'E 'y;ITE!CHEF L=it AGENCY Account ID. c=,:.-?t:� ,1 <br /> t�SO C ROTH RD Facility ID; 003966 <br /> LATHR?OP : CA 9S3:3('-) Permit Printed; 12/05/'95 <br /> BILLING ADDRE'q� <br /> SHAR PE SITE/DEF LOG AGENCY <br /> ATTN; Sl-!AF,PE DEE .LOG S ST I C: AGCY.DEPOT <br /> ROTH RD <br /> LATHROP, CA 95330 <br />