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_ -- -t <br /> SAN JOAWN N COUNTY PUBLIC HEALTH S ICES <br /> 304 E.WEBER AVE., IRD FLOOR • STOCKTON,CA 95202 PH 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 /> CPERA T I G PERMIT FOR UNDERGROUND STC iAGE TAS. EAC I L I TY <br /> Tank. Tank Permit Annual Permit Pee valid <br /> P/E "urrttier Record ID Number Capacity Contents Permit Status From To <br /> 2�K50 X,4 TAS02112It:: NOW,? 9j.000 Re's Unleaded 01 Active Permit 0i/19j?9 12/31'-'i <br /> 23,11 006 TA�,ilfl=? C}D9644 :�,£31r1 Rid Unleaded t�l Active Pert it �1ii19199 12r'-11P919 <br /> PERMIT CONDITION <br /> li T fe PERMIT TO OPERATE wili become void if 1?�Pd:�AL PERMIT Fees ar.N S EFaaICE Fees ars aot. paid ana;i'iar the US SysteM(S) fail_ <br /> to remain in compliance with the PERMIT CREITIONS. <br /> 21 The PERMIT TO OPERATE is granted to the TANK OWNER who accepts resporsitailit.y for operating and monitor'i;off the UST system <br /> according to State undergrca,ind storage tank lags and regulations as Well as any conditions established by San _oaquin County. <br /> 31 The Tffi'K OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN' <br /> OPERATING AGREEMEJNT required under Section 25293, Chapter 6.7, Division 2+ , 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 t-he S! <br /> systee}. <br /> 5) Upon any change in equipment, design or operation of this facility, the PU ''T TO OPERATE Will be reviewed by the <br /> Environmental Health Division. <br /> 6) A construction or rermoval permit is rewired from the Environmental Heatt.H LDiYieion prior ts--j any removal or <br /> change of UqT 5ycte?ft equipment. <br /> ;) This PERMIT TO CERATE snail not he considered permission to violate any e';ist.irfg laws, =_}r'dinartces or statutes of op:trer <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an LIST FACILITY issued to! ELDER .. E'�I I <br /> Ii- TTf7 At)r <br /> MANTEC:A, CA 9 c_l", <br /> PERMIT, . TO OPERATE nand ANNUAL PERMIT EEE PA�'#�iENTS= •ease NOT TRANSFERABLE <br /> arid roaty tae SUSPENDED c-r REVS IKED t a_,i' c <br /> THIS FORK !MIST BE DISPLAYED CONSPICUOUSLY THE PREMISES <br /> REGULATED FACILITY: C"CiUNTRY CLUB Fi-IFiD a, FUEL MINI HAFT Account. IDs 0(X11916 + <br /> 1856 k-) COUNTRY CLUB BLVD Facility IDs Dt11909 <br /> ?T 0Ck.T0 N , CSA -+5204 Permit. Printed: 09116f99 <br /> BILLING ADDRESS! CL:+r UN T RY CLUB FOOD pt F U E L M I�%t T <br /> 1�1UNTRY CLUB Es{_VD <br /> E+w.r:' ,tri; CSA =5' 04 <br /> _� I <br />