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SAN JOAQ4&N COUNTY PUBLIC HEALTH SEICES <br /> a 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHW(209)468-3420 <br /> i <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 /> 0 POW I Wa PERM I T FOR L44DERGRL-ILS STORAGE TAS: FAC I L I TY <br /> Tati Tank: Permit Annual Permit Fre Valid <br /> P � 1rut:tie- Re£or.� > Number Cap- its .:rentents Per ,ii Status _ From To <br /> `kms-__ �7a � � +:f}t Prem G =e Perit t /( 1*113t4T ; i i � t - <br /> f' i '� iS!Ya}e l £tive Fertiit �lf?_ 1 =.t )ii�i�cTAS+? i <br /> tli?7 Tk4;1]'4'? nt?y i'1:t!1t'1 �tie5e! t:t £tl:Je EerIt• Ciii� f' '' i?l�,�f <br /> PERMIT C:ONDITIONS; <br /> 11 The PERMIT TO OPEERATE will become void if ANNUAL PERMIT Fees and SERVICE Fees are not paid and/or the US system(s) fails <br /> to remain in compliance Wit-t', the PERMIT CONDITIONS. <br /> ) The PERMIT TO OPERATE is granted to the TANK OWNER who accepts re_ponsibilit•y for operating and monitoring the US' system <br /> according to Stats underground storage tank laws and regulations as we'll as any conditionis established by Sar, _oa-quir! County. <br /> : ) The TAW,' OP'ERATi1R('e:), if different- from t-he tank owner, shall operate and �onita.r the UST system; according to the i�RITTEN <br /> OPERATING AGREEMEN rmired sunder Section ?S'_'9=�, Chapter h.', Division 20, California Health and Safety Code. <br /> 4) Tte 1AN` tai " shall not. fy the Environmrantal Health Division of any proposed change in operation or ownership of thet, <br /> systems. <br /> ;;) Upcn any Ch;nge in equipment, design or operation of this facility, the PERMIT TO OPERATE will be reviewed by the <br /> Environmental Health Division. <br /> E_) A construction or removal permit is required from, the Environmental Health Division prior to any removal or <br /> change of UST system equipment. <br /> ) '.his PERMIT TF1 OPERATE shall Tj.:A- be r£s}*idereat r-T-mission to violate any existing laws, ordinances or statutes of ot-her. <br /> fei'eral: state or local agencies. <br /> Tr - n r nn r::-i. <br /> PE^°M:T ;i# ,PEI an, UST Fr,t.ILIT'1 issued to; �•i_ I EiF''E, 11EL <br /> -S E C:Ahs!T E R EA e Y f-=i'�• <br /> T- r• 1 <br /> I•E-;M I TS T;-'i OPERATE ATE a,µ;,J AN!',!t)�L PER I T f=EE PAYMENT' NOT TR'N,::�F•ERABLE <br /> ciFli i t'!I_=-v be -,;.i':=.'-;PEcop 'REVOKED f c--r- C' iu 5e . <br /> # <br /> TH I S F MIST BE DISPILAYED CONSPICUOUSLY ON THE PREM I SES <br /> 9 <br /> REGULATED FACILITY; OLYMP I AN j M E, P Account M f 3171 � <br /> a; MOFFAT E,LV D Facility ID; t?fi:'S923 <br /> MANTEC.A , CA '-:;5:E,:=,6 Permit Printed 01/0£/99 <br /> BILLING ADDRESS: CIL'T MP I Aloe M E= P <br />