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SAN JOA96N COUNTY PUBLIC HEALTH SI' .VICES <br /> P O Box 388 STOCxTox, CA 95201-0388 • PHONE W9) 468-3420 <br /> ` ERNtsT M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA HFRAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> OPEMTING PERMIT FOR UNDERGWM STORAGE TAIL FACILITY <br /> Tank Tank Pet-sit Annual Permit fee Valid <br /> PIE Number Record ID Number Capacity Contents Permit Status From To <br /> 2360 002 TAS%525 ON% 2,000 Diesel 01 Active Permit 01/01/96 12131/96 <br /> i <br /> PERMIT CONDITIONS: <br /> 1) The PERMIT TO OPERATC`will become void if MIAL PERMIT Fees and SERVICE Fees are not paid acrd/or the kkT system(s) fails <br /> to remain in compliance th the PERMIT CITIONS. <br /> 2) The PERMIT TO OPERATE is grldnted to the I•P& OWNER who accepts responsibility for operating and monitoring the UST system <br /> according to State underground rage tank laws and regulations as well as any conditions established by Salt Joaquin County. <br /> 3) The Ta OPERATOR(S), if differentlrps 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 rode. <br /> 4) The TAW LAR shall notify the Environmental Health Division of any proposed change in aeration or ownership of the UST <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 /> 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; PAC I F IC BELL <br /> 2646 WATT AVE 'ATE 4 <br /> SACRAMENTO, CA 958S1. <br /> PERMITS TO OPERATE and ANNUAL. PERMIT FEE PAYMENT'S are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> THIS FORM MAST BE DISPLAYED I Y ON TME PREMISES <br /> REGULATED FACILITY; PACIFIC BELL Accent ID; 0003568 <br /> 0356 <br /> to E 12TH Facility ID: 0039 56 <br /> TRACY, CA 95::76 Permit Printed; 05/02/96 <br /> BILLING ADDRESS: <br /> PACIFIC BELL <br /> ATTN: PERMIT DESK <br /> PO BOX 601883 <br /> SACRAMENTO, CA `aS860-1.SS�� <br />