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SAN JOAQAW COUNTY PUBLIC HEALTH SOVICES <br /> ' P O Box 388 TOCHTON, CA 95201-0388 • PHONE ) 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA HERAN, R.E.H.S,, DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> ` OPERATING SIT FOR k#j)ERGRMW STORAGE TAW FACILITY <br /> Tank Tank Permit Annual Permit fee Valid <br /> FEE dumber Record ID Number Capacity Contents Permit Status From To <br /> 2360 00 TA1995M 045172 14,000 Unleaded 01 Active Permit 01/01/97 12/31/97 <br /> 2360 009 TA199509 005173 10,000 Unleaded 01 Active Permit 01101197 12/31197 <br /> 21360 010 TA199SIO 005510 10,00 Unleaded 01 Active Permit 01/01/97 12/31/97 <br /> 2360 011 TA199511 065511 2,50 Waste Oil 01 Active Permit 01101197 12/31/97 <br /> PERMIT CONDITIONS: <br /> 1) The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SERVICE Fees are not paid and/or the UST system(s) fails <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 UST system <br /> according to State underground storage tank laws and regulations as well as any conditions established by San Joaquin C.amty. <br /> 3) The TANK 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 Code. <br /> 4) The TANS OWNER shall notify the Environmental Health Division of any proposed change in operation or ownership of the USI <br /> system. <br /> S) Upon any orange 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 remcival or <br /> change of UST system equipment. <br /> 7) This PERMIT TO OPERATE shall not be considered permission to violate any erxisting laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> PER11IT TO OPERATE an UST FACILITY issued to; TOSCO NORTHWEST PROP I INC j <br /> G01 UNION ST, `ATE 2500 <br /> SEATTLE, CA 98101 <br /> PERMITS TO► OPERATE and ANNUAL PERMIT FEE PAYMENTS 5 i^e NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> THIS FORM HMT EE DIS'L.AYM 0UNSPICtXkJSLY ON THEPRE_f4,jSES <br /> REGULATED FACILITY: BP GIS. C:C.iMY'ANY# Account ID; 0i"U25 <br /> 1403 Facility IN 0060 <br /> �{ 'SCA 9S`tia4 Permit Printed; 44107/97 <br /> BILLING ADDRESS: TOSCO NORTHWEST CO <br /> ATTN: SHARON WATSON <br /> 2130 PROFESSA ONAL. DR, STE 100 <br /> tOS EV I LLE, CA 'SE61 <br />