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SAN J( COUNTY PUBLIC HEAL�CES <br /> P O Box 388 • TOCxTON, CA 95201-0388 • PgONE �� ) 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 /> COIE1FtATING PERMIT FOR Lft— Rt OUND STORAGE TAW FACILITY <br /> Tank Tank Permit Annual Permit Fee Valid; <br /> P/E tomer Record To Number Capacity Contents Permit. Status rrom To <br /> 2350 004 T4504%9 M214 151000 Unleaded 02 Conditional Permit 01/01/97 12/31/97 <br /> 2 003 TA504 0025 20,000 Unleaded 02 Conditional Permit. :�i/01/91 12l31197 <br /> PERMIT CONDITIONS: <br /> 1) The PERMIT TO OPERATE will become void if A*#Al. PERMIT Fees and SERVICE Fees are not paid andfor the UST system(s) fails <br /> to rc�ain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TAW Oi►ER who accepts rewnsibility for operating and monitoring the UST System <br /> according t4 State underground storage tank laws and regulations as well as any conditions establishkd by Sari Joaquin County., <br /> 3) The TiOPERATOR(S), if different from the tanto owner, shall operate and monitor the UST system according to tt•* WRITTEN <br /> OPERATING AGREEMENT required under Section 25293, Chapter 6.7, Division 20, California Health and Safety Cafe. <br /> 4) The TAW, OWNER shall notify tare Environmental Health Division of any proposed change in operation or ownership of the lRST <br /> system. <br /> 6) Upon any change in equipment, design or operation of this facility, the PERMIT TO OWRATE- will be reviewed by the <br /> Environmental Health Division. <br /> 6) A -onstr;action or removal permit is required from tte Environmental Health Division prior to any removal or <br /> change of UST system equipment. <br /> 7) This PERMIT TO OPERATE shall riot be considered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> S) A Tonditiortal Permit° may be revoked if corrections are not completes by the daf-e(s) specified on inspection. <br /> PERMIT TO OPERATE an UST FACILITY issued to; SAN OAGU I Ni COUNTY <br /> 222 E WEBER AVE <br /> ' TOC:KTON, CA 96202 <br /> 'PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and € ay be SUSPENDED or REVOKED -for cause . <br /> THIS iF T BE DISPLAYED CONSP IC Y ON THE PAISES <br />° REGULATED FACILITY SHERIFF*---, ONRA► I ONE; CTR #2 Account I0- (AN27 <br /> 1L1l , ' . Facility ID, 006440 <br /> FRENCH CAMP, CA 95231 Permit Printed, 02!25/91 <br /> BILLING ADDRESS: SHERIFFS OPERATIONS CTR #i <br /> ATTR#; GOVERNMENT BLDG <br /> 1722 E SC OT T S AVE <br /> STOC KTON, CA 9520S <br /> l <br />