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SAN JOA&IN COUNTY PUBLIC HEALTHVICES <br /> P O Box 388 NF STOCKTON, CA 95201-0388 • PHo 09) 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 FUR UNDER.GROkMSTORAGE TAW FACILITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> P/E Number Record ID Number Capacity Contents Permit Status From To <br /> 2350 041 TA132MI Ta4267 500 Unleaded 01 Active Permit 41/01195 12/31/ <br /> 2384 002 TA133W2 014268 10, Unleaded 01 Active Permit 41/41/95 12/31/95 <br /> 2384 003 TA1=3 004270 10,0 Unleaded 01 Active Permit 01101/95 12/31/9 <br /> 2350 004 TA133304 004272 1,000 Unleaded N Active Permit OU016S 12/31/95 <br /> PERMIT CONDITIONSI <br /> 1) T±* PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and NICE Fees are riot paid and/car the tt:3T system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TANK OWER who accepts responsibility for operating and monitoring t`e UST system <br /> according to State underground storage tank laws and regulations as well as any conditions establisher by San Joaquin Comty, <br /> 3) The TAIL tPERAATOWS), if different from the tarp, 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 notify the Environmental Health Division of any proposed change in operation or ownership of the NST <br /> system. <br /> 5) Upon any 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 /> ?) 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 /> PMIT TO OPERATE an UST FACILITY issued to, CHEVRON USA #4133 <br /> 235 N HAM LANE <br /> LODI , CA 99240 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> THIS FORII MUST BE DISPLAYED COOSPICCAI:IU'v3LY ON THE PREMISES <br /> 'E6ULATED FACILITY, CHEVRON USA #4183 Account ID, 0003��U <br /> 236 N HAM LN Facility ID= 003711 <br /> LODI , CA 95240 Permit Printed, 08/11/95 <br /> BILLING CESS, <br /> q HEVRON USA #413:3 <br /> ATTN, CHEVROW USA <br /> 236 N HAS! LN <br /> LODI , CA 95240 m <br />