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SAN JOA N COUNTY PUBLIC HEALTH S VICES - <br /> 304 E.WEBER AVE., tD FLOOR • STOCKTON,CA 95202 • PHV(209)468-3420 <br /> KAREN FuRsT,M.D., M.EH.,HEALTH OFFICER <br /> DONNA RERAN,R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> Q ATI P iIT FLER L CERSTORAGE TAW FACILITY <br /> Tani; T%+nF Permit Annual Permit Fee Vail <br /> P/E Number Record 1D Number Capacity Contents Permit ;status From To <br /> 2361) 00.5 TA107005 5SO Waste oil 01 Active Permit. 01f011_� 12!:1199 <br /> 2.360 CYN-31 TASOEW1 {1fIS166 iS,ilt 1 Unleaded 01 Active permit 01lDli':�9 i?15:11'.'? <br /> 235s; 007 TASr.Sr gj ON2167 1S.00K! Unleaded 0AActive Permit 041/01/99 2/31/9 <br /> PERMIT CONDITIONS : <br /> 1) The PERMIT TO TE will become void if A UAL PERMIT Fees and `ERVICE Fees are ria`. paid arid/orthe ►rST system(s) fails <br /> to remain in r1capliance wits, the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TANK OWNER who accepts responsibility for operating and monitoring the UST systeo. <br /> according to `Mate underground storage tankk laws and regulations as well as any conditions established by San R"d-win County. <br /> 3) The TAW.. OPERATORS), 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 r��tify the Environmental Health Division of any proposed Mange in operation or ownership of the UST <br /> system.. <br /> ,• _ f this facility, the PEFtsiIT TO CERATE viii i� reviewed by the <br /> 5) ,�.�,;� any ct+a�ae in Uiri<!artt., deign or c��er•ation o <br /> EnvironmentaRealtfhDivision. <br /> 6) A construction or I•ergval permit is required from the Enviroyriental Health Division prior to any removal or <br /> change of UST systema 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 /> + # tL <br /> PERMIT TO OPERATE an UST FACILITY issued to! `=HEL€.. 0 1L CrrrMPAI lY <br /> PO E'r_rX 4023 <br /> CONCORD, CA 9115-'4• <br /> PERMIP-6 TO r_rF'ERATE and ANNUAL PERMIT FEE PAYMENT'S= are NOT TRAN°wF=ERABLE <br /> arid rs!a y ,,e %-.;L.D'c`;F='ENL ED c,r REVOKED r cause <br /> THIS FORMHUST BE DISPLAYED C01i1S 'I ON TW PREMISES <br /> REGULATED FACILITY; COUNTRY GLIDE. 'SHELLA Account ID. WY8426 <br /> 2S7S COUNTRY CLUB BLVD Facility ID, 0064Yj <br /> 'S;TOCKTON, CA 99204. Permit Printed: 04125193 <br /> BILLING ADDRESS; COUNTRY GLIDE; 'SHELL* <br /> 2575 COUNTRY CLUB BLVD <br /> S TOCKTON, CA 9S204 <br />