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SAN JOAIIJIN COUNTY PUBLIC HEALTH VICES <br /> P O Box 388 T STocK-roN, CA 95201-0388 • PHo 209) 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 UNDERGROUND STORAGE TAW FACI L I TY <br /> Tank Tank Permit Annual Perruit- Fee Valid <br /> SIE !fir Record ID Number Capacity Contents _ Permit Status From T}} <br /> 2380 001 TAIG9201 W3554 10,000 Unleaded 02 Conditional Permit 51/01/9S 12i31/9S <br /> 2W ' 002 TA169202 005+655 8,000 Unleaded 02 Conditional Permit Eft/01/95 12/31/95 <br /> '80 003 TA169203 tul 8,000 Diesel 02 Conditional Permit 01/01/95 121:31185 <br /> :'ERMIT CONDITIONS: <br /> r The PERMIT TO OPERATE will become void if ANMK PERMIT Fees and S�'vICE Fees are not paid and/or the UST systems) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> The PERMIT TO OPERATE is granted to the Tom. OWNER who accepts responsibility for operating and monitoring tr* UST system <br /> according to State underground storage tank laws and regulations as well as any conditions established by San Joaquin County. <br /> The TANK OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING AUNT required under Section 25253, Chapter 6.1, Division 20, California i1ealth and Safety Code. <br /> The TAW, OWNER shall notify the Environmental Health Division of any proposed change in opepation or ownership of the UST <br /> system. <br /> 5) Upon any change in equipment, design or weration �f this facility, tte PERMIT TO OPERATE will be reviewed by the <br /> Environmental Health Division. <br /> 6) A construction or removal permit is rewired from the Environmental Health Division prior to any removal or <br /> change of UST 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 /> 8) A "Conditional Permit" may be revoked if corrections are not completed by the date(s) specifi?d on inspection. <br /> PERMIT TO OPERATE an UST FACILITY issued to: MEL E>E:.K I DEL <br /> 1191 NAVY OR <br /> STOCKTON, CA 9520 <br /> PERMITS; TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> TH I cS FORM MUST BE D I SPLAYED CONSPICUOUSLY ON THE PREMISES <br />` REGULATED FACILITY: CAL. TEXACO Accent. IN 00�0*2-'11 <br /> 444 AAs MOSSDAL.E Facility 10: 000*21: <br /> L_ATHROP, _ CA 95==:3C' Permit Printed., 08/21/9-5 <br /> BILLING ADDRESS; <br /> AL TEXACO <br /> ATTN: I QBAL. CHOHAN <br /> 444 W MOSS:DAL.E <br /> CATHR }P . CA 9S3.30 <br />