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i <br /> SAN JOA( COUNTY PUBLIC HEALTH SWgCES <br /> P O Box 388 • TOCKTox, CA 95201-0388 0 PHONE ) 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 /> OPERATING PERMIT FOR LNOERGROkM STORAGE TAW FACILITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> FIE kaberRe€ord ID r Capacity Contents Permit. Status From Tc, <br /> 2360 OOS _ TAi07%6 004847 554 Waste Oil 01 Active Permit 01101/97 12/31/97 <br /> 2360 0{yL TASOS601 008166 15101 Unleaded 01 Active Permit 01/01/97 12/31/97 <br /> 2360 07 TASOS600 008167 1S,OW Unleaded 01 Active Permit 01/01/37 12/31/97 <br /> PERMIT CONDITIONS: _ <br /> 1) The FERhIT TO E)PERATE will becomeraid if AM PER-%IT g=ees and �PVIC•E F are not paid aredl4r the OST system(s) fails <br /> to ruin in cwliance with the PERMIT U-WITIM. . <br /> 2) The PEW-11T TO CFERATE is granted to the TRIC DEER 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 County. <br /> 3) Tte TkiK D'1 4T R(S), if different from the td—nk owner, shall operate and monitor the UST system according to the WP-1TTEN <br /> OPERATING AGREEYBT required under Section 25213, Chapter 6.7, Division 20, California Health and Safety Code. <br /> 4) The TAW shad notify the Environmental health, Division of any pr€pcs d change in operation or ownership of the UST <br /> system. <br /> 5) Upon any change In equipment, design or operation of this facility, the PERMIT TO #-ERATE will be reviewed by the <br /> Environmental Health Division. <br /> 6" A construction or removal permit is required from the Envir€jnmenial Health Division prior to any removal or <br /> change of LST system equipment. <br /> D This PUjjTT TO OPERATE shall not be considered permission to violate any existing laws, ordinances or statutes of otherfederal, state car local a�trencies. <br /> t 4 <br /> PH IT TO OPERATE an UST FACILITY issue to; SHELL O I L C'O?F-*ANY <br /> PO BOX 40 23 <br /> CONCORD, CA `4S24 <br /> 'E-RM I T';= TO OPERATE and ANNUAL.. PERMIT EEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED c-f• REVOKED f c.,r cause. <br /> THIS- FORM MUST BE DISPLAYED ICLOUSLY ON THE PREMISES <br /> REQ, ATED FAC ILITY! COUNTRY CLUB SHELL* Account 10: 0008426 <br /> 2575 COUNTRY CLUB BLVD. Facility 10: 006439 <br /> `:'5T 0--', FON, CA 5.5'204 Permit Printed; 04/07/97 <br /> BILLING ADDftESIS, 'M;HELL OIL CO INC <br /> ATTN' H!:-:"&,E ADMIN S 3F=POr T/JOHN !-"OCH <br />