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SAN JOA N COUNTY PUBLIC HEALTH SFYICES <br /> 304 E.WEBER AVE., FLOOR - STOCKTON,CA 95202 - P (209)468-3420 <br /> KAREN FURST,M.D.,M.P.H.,HEALTH OFFICER <br /> DONNA HERAN,R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> E RONMENTAL HEALTH <br /> OPERATING IT FOR WMNOX 10 STORAGE TAW FACILITY <br /> Tank Tank Permit Annual remit Fee Valid <br /> Number Record ID mer Capacity Contents Permit Status From To <br /> 2:911 007 TASO--S�.14 X342 4,O} Diesel 41 Active Permit 01/01/98 12!31!98 <br /> 2 '.) t 6 TASDSSI3 0343 8XI unleaded 01 Active Permit 0I!01!36 12/311Se <br /> I <br /> ,'IleuNs TAS4S312 008344 12,000 Unleaded 01 Active Permit 01!01!c.08 12!31/98 <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 T44K 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 County. <br /> S-1 The TANk OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING AGREEMENT required under Section 20G, Chapter 6.7; division 29;, California Health and Safety ride. <br /> 4) The TANk OWNER shall notify the Environmental Health'; Division of any proposed change in operation or ownership of the UST <br /> system. <br /> S) 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 tte 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. PALISADES GAS AND WA:v,*H <br /> :30101 AGO!JRA CT STE 200 <br /> AGS ii SRA HILLS, CA44130-1 <br /> PERMITS TO OPERATE and ANNUAL PERMIT EEE PAYMENT'S a r e< NOT TRANSFERABLE <br /> vin; rrta y. Lea S 1SPENDED or REVOKED for cause . <br /> THIS FORM MUST BE DISPLAYM CONWICUOUSLY ON TSE PIREMISES <br /> REGULATED FACILITY, USA GASOLINE Account ID: 003410 <br /> 270.5 COUNTRY CLUB BLVD Facility IDs 00204£ <br /> STOC:KTP N , CA 95204 Permit Printed; 06110!9'3 <br /> DIf LII , ADDRESS= t.1SA GASOLINE #83S <br /> ATTN i _ PALISADE' GAS b_k44A'==HIG F;UB I N <br /> �0101 HAGOURA CT, _=TE DCII} <br /> AGx_11 RA HILLS, CA 91301--4311 <br />