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SAN JOI&UIN COUNTY PUBLIC BEALTII RVICES <br /> P O Box 388qW STOCKTON, CA 95201-0388 • PHOW(209) 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 /> TING PERMIT FOR Ut"R6ROUND STORAGE TANS FACILITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> P/E Ear Record ID Number Capacity Contents permit Stag From To 1 <br /> 20 X61 a conal Permit 01101195 12/31795 <br /> 2'360 048 TASOS391 007956 I5,000 Unleaded Ot Active Permit 01I0119S 12131/96 <br /> 7260 007 TASOS390 007957 15,000 Unleaded Of Active Permit 01/01195 12/31/95 <br /> i <br /> { <br /> i <br /> PERMIT C:ONDITIONSs <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 cospliance with the PETIT CONDITIONS, <br /> 2) The PERMIT TO OPERATE is granted 10 the TAW OWNER who accepts responsibility for operating and monitoring the UST system <br /> according to Stag underground storage tank laws and regulations as well as any conditions established by San .ioaquin County. <br /> 3) The TANK OPERATOR(S), if different from Vie tank owner, shall operate and monitor the UST system according to tyre WRITTEN <br /> OPERATING AGREEMENT rewired under Section 25293, Chapter 6.7, Division 20, California Health and Safety Code. <br /> 4) The TANS( OWNER shall notify the Environmental Health Division of any proposed change in operation or ownership of the l6T <br /> system. <br /> S) Upon any chane in equipment, design or operation of this facility, the PERMIT TO OPERATE will be reviewed by the <br /> Environmental Wealth Division. <br /> 6) A construction or removal permit is required 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 other } <br /> federal, state or local agencies. <br /> 8) A "Conditional Permit' may to 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 /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> THIS FORM MUST BE'DISPLAYIED CONSP ICWUSLY ON THE PREMISES <br /> REGULATED FACILITY; SHELL SERVICE STATION Account. IN 000:3.450 <br /> 880 VICTOR RD Facility IDs 00:3862 <br /> LODI , CA 95240 Permit Printed; 08/11/9S <br /> BILLING ASS. <br /> SHELL OIL COMPANY INC: <br /> ATTN: HShE ADMIN SUPPORT i <br /> PO BOX 4023 <br /> CONCORD, CA 94624 <br />