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SAN JOAMIN COUNTY PUBLIC HEALTH WVICES <br /> P O Box 388 ST)ocxTON, CA 95201-0388 • PHONE 09) 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 /> OPMTING SIT FOR L"3ERGRUUND STORAGE TANK FACILITY <br /> Tank Tangy: Permit Annual Permit Fee Valid <br /> HE Number Record ID ter Capacity Contents Permit Status From To <br /> 060 003 TA140403 004245 12,000 Unleaded 01 Active Permit 01101/97 12131/97 <br /> 2360 004 TA140404 004250 12;000 Unleaded 01 Active Permit . 01/�t1. 7.; <br /> 2360 005 TA140405 0'14251 12,0 ? Unleaded 01 Active Permit 01101/97 12/31/97 <br /> PERMIT CONDITIONS: <br /> 1) The PERMIT TO OPERATE will become void if ANNUAL PERMIT Pees 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 TW, 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 /> 3) The TAMC OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING AGREEMENT rewired under Section 25293, Chapter 6.7, Division 20, California Health and Safety Cade. <br /> 4) The TAT OWNER shall notify the Enviromiental Healtb Division of any proposed chanty 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 CRATE will. be reviewed by the <br /> Environmental Health Division. <br /> 6) A construction or removal permit is rewired from the 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 otter <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an UST FACILITY issued to; CUSTOMER CO,, THE <br /> 4487 PARK RD <br /> BENICIA, CA 9510 <br /> PERMITS TO OPERATE and ANN1!A1, PERMIT EEE F'AYIEPIT' are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause . <br /> WS FORM MUST BE DISPLAYED CONSPICWALY ON THE PREMISES <br /> REGULATED FACILITY; CHEAPER #27 Account ID; (x)02476 <br /> , E GRANT LINE RD , Facility ID; 002915 <br /> TRACY, CA 9S376 Permit Printedi 03123197 <br /> BILLING ADDRESS; CHEAPER #317 <br /> PO BOX OGG, <br /> BENIC.IA, CA 94.6- 1t3 <br />