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SAN JOA IN COUNTY PUBLIC HEALTH S VICES <br /> 304 E.WEBER AVE., RD FLOOR • STOCKTON,CA 95202 • P> (209)468-3420 <br /> KAREN FURST,M.D., M.P.H.,HEALTH OFFICER <br /> DONNA RERAN,R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> OPERATING F IT FOR UNDERGROkND STORAGE TANK FACILITY <br /> Tank Tank Permit. Annual Permit Fee Valid <br /> P/E Number Record 1D fiber Capacity Content= Permit. Status From To <br /> 1c50 007 T4.S05814 008342 4,000 Diesel 01 Active Permit 01/01/99 12/31/99 <br /> 1360 00.6 TA505813 008343 8,000 Unleaded 411 Active Permit 01/01/99 12/31/99 <br /> 23160 005 TA50S812 008344 12,OM Unleaded 01 Active Permit 01/01/99 12/31/99 <br /> PERMIT CONDITIONS: <br /> 1) The PERMIT TO 13PERATE will became 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 tte TANK 'NO who accepts responsibility for operating anis monitoring the UST system <br /> according to State urriiderground storage tank laws and regulations as well as any conditions established by San Joaquin County. <br /> 3) The TANK OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING 4GEMENT required under Section 25293, Chapter 6.7, Division 20, California Health and Safety Code. <br /> 4) The TANK ESR shall notify the Environmental Health Division of any prcpwcsed change in operation 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 rewired frau the Environmental Health Division prior to any removal or <br /> change of UST system equipment. <br /> 7) This PERMIT TO OPERATE shall not to 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; PAL I c-ADES GAS AND I4JASH <br /> 30101 AGOURA ;1T STE 200 <br /> AGOURA HILLS, CA `4130-1 <br /> PERMITS TO OPERATE and ANN(IAL PERMIT EEE PAYMENT'S are N13T TRANSFERABLE <br /> and may be SUSPENDED FENDED or REVFIKED for cause . <br /> THIS MIST BE DIWLAYM C00*1SPICUOUSLY ON THE PREMISES <br /> REGULATED FACILITY: USA GA-'OLINE #83`; Account ID; 0003410 <br /> 2705 COUNTRY CLUB BLVD Facility ID-, 002048 <br /> 'S;TOCKTON, CA 99204 Permit Printed; 040/99 <br /> BILLING ADDRESS: PALISADE'', GAS h WASH <br /> 30101 AGOURA CT STE 200 <br /> AGOURA H I LL.'S,, CA 91301-4311 <br />