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SAN JOAQW COUNTY PUBLIC HEALTH S VICES <br />P O Box 388 ON, CA 95201-0388 • PflONE �9) 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 />r <br />RM I T CONDI T IONS <br />} The PERMIT TO OPERATE will become void if *6 AL PERMIT Fees and SERVICE Fees are not paid and/or the UST system(s) fails <br />to remain in compliance will the PERMIT QNDIT tB. <br />2) The PETIT TO OPERATE is granted to theTANK 0WNER who accepts re�w ibiiity for operating and monitoring the UST system <br />;r ,mccc�rding to State undergrawnd storage Cwty. <br />3) The. TANK,OPEi'tKOR(S), if different.f- ey m to owner, shall operate and monitor the iiST system according to the WRITTEN <br />OPERATING AGREEMENT Mired inti' Section 25293, Chap <br />6.7, Division 20, California Health and Safety Code. <br />4) The TANK _OWNER shall notify the Envi any proposed change in operation or ownership of the UST <br />5}' any change in equipment, design or operation of this facility, the PERMIT M 0PERATE will be reviewed by the <br />EmironsetttIr Ith Division. <br />S) i c f atm or removal permit is rewired from the Envirftohl #Wth Division prior to any removal or <br />change of UST sulroftll <br />went. <br />7) This PERMIT not be considered pftilsiOn to yioltte joy existing laws, ordinances or statytes of other <br />federal, state or local agencies,. <br />PERMIT T9 WERATE an UST FACILITY issued too CHEVRON VSA <br />Pit BOX 6004 <br />SAN RAMON, CA 94633 <br />PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br />and'may be SUSPENDED or. REVOKED for cause. <br />THIS FGM MUST' BE DISPLAY90 MWICUOUSLY O1 THE PREMISES <br />REa)LATED FACILITY:,` CHEVRON USA #201383 Account ID: 000WI <br />. VFacility ID: 0 4547 <br />ACY ; CA ' Per i# y PFinted: 431NM <br />BILLING ADDRESS: CHEVRON USDA #201383 <br />ATTN: AMERI PERSONNEL SERV INC #201 <br />PO BOX 5004 <br />SAN RAMON, CA 54.5$3 <br />OFTPATING <br />PERMIT F TAW FACILITY <br />4` I <br />:. Tank <br />Tank <br />Permit <br />Annual Permit <br />Fee Valid <br />/E r <br />Record ID <br />Number <br />Capacity Contents Permit Status <br />From <br />To <br />001 <br />253401 <br />OVAU <br />12,000 Oleaded 01 Active Permit <br />01/01/97 <br />12/31/97 <br />002 <br />2SU02 <br />006455 <br />12"OW Unleaded 01 Active Permit <br />01/01/97 <br />12/31/97 <br />_. 003 <br />253403 <br />OOU% <br />12,000 Unleaded 01 .Active Permit <br />01/01/97 <br />12/31/97 <br />r <br />RM I T CONDI T IONS <br />} The PERMIT TO OPERATE will become void if *6 AL PERMIT Fees and SERVICE Fees are not paid and/or the UST system(s) fails <br />to remain in compliance will the PERMIT QNDIT tB. <br />2) The PETIT TO OPERATE is granted to theTANK 0WNER who accepts re�w ibiiity for operating and monitoring the UST system <br />;r ,mccc�rding to State undergrawnd storage Cwty. <br />3) The. TANK,OPEi'tKOR(S), if different.f- ey m to owner, shall operate and monitor the iiST system according to the WRITTEN <br />OPERATING AGREEMENT Mired inti' Section 25293, Chap <br />6.7, Division 20, California Health and Safety Code. <br />4) The TANK _OWNER shall notify the Envi any proposed change in operation or ownership of the UST <br />5}' any change in equipment, design or operation of this facility, the PERMIT M 0PERATE will be reviewed by the <br />EmironsetttIr Ith Division. <br />S) i c f atm or removal permit is rewired from the Envirftohl #Wth Division prior to any removal or <br />change of UST sulroftll <br />went. <br />7) This PERMIT not be considered pftilsiOn to yioltte joy existing laws, ordinances or statytes of other <br />federal, state or local agencies,. <br />PERMIT T9 WERATE an UST FACILITY issued too CHEVRON VSA <br />Pit BOX 6004 <br />SAN RAMON, CA 94633 <br />PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br />and'may be SUSPENDED or. REVOKED for cause. <br />THIS FGM MUST' BE DISPLAY90 MWICUOUSLY O1 THE PREMISES <br />REa)LATED FACILITY:,` CHEVRON USA #201383 Account ID: 000WI <br />. VFacility ID: 0 4547 <br />ACY ; CA ' Per i# y PFinted: 431NM <br />BILLING ADDRESS: CHEVRON USDA #201383 <br />ATTN: AMERI PERSONNEL SERV INC #201 <br />PO BOX 5004 <br />SAN RAMON, CA 54.5$3 <br />