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SAN JOAQM COUNTY PUBLIC HEALTHCES <br /> P O Box 388 SwWfocKToN, CA 95201-0388 • PnoNE 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA HERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> QW+" TING tMI'I' FM UDE UM STOP&AbE TAIL FACILITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> P/E Number Record ID Number Capacity Contents Permit Status From To <br /> 005 TA1 A6i16 5 Waste Oil 02 Conditional Permit 01/01/97 12/31197 <br /> 2360 -008 TASO5.391 007956 15,01 Unleaded 01 Active Permit 01/01/97 12/31/97 <br /> 2360 007 TA505390 007957 15,000 Unleaded 01 Active Permit 01/01/97 12/31/97 <br /> PERMIT CONDITIONS: <br />! 1) °`iNe PERMIT TO OPNTE will become void if AWA PERMIT Pees and MICE Fees are not paid and/or the UST systes(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TANK OAR who accepts responsibility for operating and monitoring the UST sys* <br /> according to State underground storage tank laws and regulations as well as any conditions established b- San Joaquip Colmty. <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 AUNT required wider Section 252933, Chapter 6.7, Division 20, California Health and Safety Code. <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 /> 5) Upon any change in equipment, design or operation of this facility, to PERMIT TO OPERATE will be reviewed by the <br /> Environmental Health Division. <br /> 6) A construction of removal permit is required from the Environmental Health Division prior to any removal o <br /> change of UST system equipment. <br /> 7) This PENT TO OPERATE shall not be considered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> 8) A *Conditional Permit° may be revoked if corrections are not completed by the date(s) specified on inspection. <br /> PERMIT TO OPERATE an UST FACILITY issued to; SHELL OIL COMPANY INC <br /> PO BOX 4023 <br /> CONCORD, CA 94524 <br /> PERMIT'S T}� OPERATE and ANNUAL PERMIT FEE PAYMENTS areNOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> THIS FOrM NJST BEWSPLAVED COOMICM)SLY ON THE PRMISES <br /> REGULAMI FACILITY; S=HELL SERVICE STATION* Account ID: (00360 <br /> ;: VXTOR RD ' Facility ID: 003861 <br /> 001 , CA 95240 Permit Printed: 03/28/97 <br /> BILLING ADDRESS: SHELL OIL. -CO INC <br /> ATTN: HSbE ADMIN SUPPORT/JOHN KOCH <br /> r <br /> 1390 WILLOW PASS RD ST 900 <br /> CONCORD, CA 94524 <br />