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SAN JOAq� COUNTY PUBLIC HEALTH SfVICES <br /> P O Box 388 • xTON, CA 95201-0388 • PHONE ) 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 /> LEFIERATING PERMIT FOR UMERGROtM STORAGE TAW FACILITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> P/E Pyr Record ID mer Capacity Contents Permit State From To <br /> 3 001 TA176601 004''319 10,000 Unleaded 01 Active Permit 01/01197 12/31/97 <br /> 2380 002 TA176602 004320 10,000 Unleaded 01 Active Permit 01/01/97 12131/97 <br /> 2380 OtiS TA176603 004321 10,00 Unleaded 01 Active Permit 01/01/97 12/31/97 <br /> 30 004 TA176604 04322 11000 Unleaded 01 Active Permit 01/01/97 12/31/97 <br /> PERMIT CONDITIONS; <br /> 1) The PERMIT TO OPERATE will become void if AIVW PERMIT Fees and SERVICE Fees are not paid and/or the UST system(s) fails <br /> to remain in compliance with to PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TAW OWNER who accepts responsibility for operating and monitoring the UST system <br /> according to State underground storage tank laws and regulations as well as any conditions established by San Joaquin County. <br /> 3) The TAW OPERATOR(S), if different from the tank owner, shall aerate 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 Cale. <br /> 4) The TW OWNER shall notify the Envirormentai Health Division of any proposed change in operation or ownership of the UST <br /> system. <br /> S) t►pon any change in equipment, design or aeration of this facility, the 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 /> PERMIT TO OPERATE an UST FACILITY issued to; CHEVRON USA INC_ <br /> PO BOX S004 <br /> ':SAN RAMON, CA 95683 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENT'S are NOT TRANSFERABLE <br /> anis may be SUSPENDED or REVOKED for cause. <br /> THIS T BE 419't.aAM OMWICUOUSLY ON THE PREMISES <br /> RE .ATED FACILITY; WATERLOO CHEVRON* Account ID: 003296 <br /> W-AT1:RL !. Facility ID; 003717 <br /> 9� <br /> ITOC. <br /> KTON . CA 2 0 S ` Permit Printed; 03/28/97 <br /> SIH ING ADDRESS; CHEVRON USA <br /> ATTN: KATHY NORRIS/PERMIT DESK <br /> PO BOX x,004. <br /> SAN RAMON, CA 94583 <br />