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..k:v' ►� SAN JON COUNTY PUBLIC HEALTHVICES <br /> 304 E.WEBER AV8, HIRD FLOOR • STOCKTON,CA 95202 ONE(209)468-3420 <br /> KAREN FURST,M.D., M.P.H.,HEALTH OFFICER <br /> DONNA HERRN,R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> OPERATING PERMiT FOR UNDERGROUND STORAGE TANK FACILITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> PIE Nuffber. Record ISI Humber Ca acity_ Contents Permit Status From To <br /> 2380 cxlI TA1S.5401 0065% 10,000 Unleaded 01 Active Permit �01/01/98. IN31/:�s <br /> 2380 003 TA155403 0(6843 61(VII Unleaded 01 Active Permit 01,`01/98 12/31/98 <br /> 22HN N2 TAISS40 007738- 8,(X10 Unleaded 01 Active Permit 01/01/9EI 12/31/S`d <br /> PERMIT CONDITIONS: <br /> i <br /> 1) The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SERVICE Fees are -,Kt paid and/or the UST system(s) fair <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TANK OWNER who accepts responsibility for operating and monitoring the IST system <br /> according to State underground storage tank laws and regulations as well as any conditions established by San Joaquin ficoint.y. <br /> 3) The TANK OPERATON S), 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 5.7, Division 20, California Health and Safety Code. <br /> 4) The TANK. NO shall notify the Environmental Health Division of any proposed change in operation or ownership of the UST <br /> system. <br /> S) Upon any changs 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 T•eguired from the Environmental Health Division prior to any relririval Or <br /> change of 1533T system 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 /> X: <br /> PERMIT TO OPERATE an UST FACIL ITY issued toi I.:-:,C.*O NFIRTHWE.'=T <br /> 601 UNION SST STE . `5t.I0 <br /> SEATTLE, WA 98101 <br /> PERMITS TO OPERATE and ANNUAL. PERMIT FEE PAYMENTS are NOT TRAN!BIFERABLE <br /> and may be SUSPENDED PENDE:D cor REVOKED f cir cause . <br /> THIS . NNST BE DISPLAYED CU03PICtCUSLY ON TME PREMISES <br /> + '• I <br /> REGULATED FACILITY, NICKS BP* #N:11195; Account ID; 0005345 <br /> 1G1=r.:O E L.OUISE AVE Facility IDI 005575 <br /> LATH-?ROP, CA 951:3: 0 Permit Printed: 03/02/9 <br /> BILLING ADDRESS: TO S:C:►I NORTHWEST CO <br /> ATTN: SHARON WATSON <br /> 22130 I PROFESS-I OVAL DR,` S=TE 100 <br /> 0 <br /> R ISEVILLE, 9S6F51 <br />