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SAN JOAOM COUNTY PUBLIC HEALTH&RVICES <br /> + P O Box 388 • STOCKTON, CA 95201-0388 • PHONE 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 /> STING P'ERIT FOR LGROUND STS TAW FACILITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> PIE Number Record ID Number Capacity Contents Permit Status From To <br /> 2390 041 TAIS7101 W6695 3,500 Diesel 41 Active Permit 01/01/95 12/31/95 <br /> PERMIT CONDITIONS: <br /> 1) The PERMIT TO OPERATE will becc;* void if ANNLX PERMIT Fees and SERVICE Fees are not paid and/ear the LEJ system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TANK 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 TANS 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 35293, Chapter 6.7, Division 20, California Health and Safety Code. <br /> 4) The TAW 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, the PERMIT TO OPERATE will be reviewed by the <br /> Environmental Health Division. <br /> 6) A construction or removal permit is required from the Environmental Health Division prior to any removal or <br /> change of t1ST 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 1.6-T FACILITY issued to: PACIFIC BELL <br /> PO BOX l r038/:3524 MARC:►Thal ,FOM B <br /> ;ACRAME:NTO, CA 958r1 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> THIS FORM NST BE D I SP'L,AYED C04SPICUOUSLY ON THE PREMISES <br /> REGULATED FACILITY-, PAC:I F I C: BELL Account ID, 0003568 <br /> 907 LINCOLN RD Facility ID, 003968 <br /> ;T4.►C:,::T►_�iV, CA 9r207 Permit. Printed= 09/27/95 <br /> BILLING ADDRESS; <br /> PACIFIC: BELL <br /> ATTN. PERMIT DESK <br /> Pi� BOX 15038/3524 MARC ON I ,RM B <br /> SACRAMENTO, CA 9SO5I <br />