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SAN JOA COUNTY PUBLIC HEALTH S CES <br /> 304 E.WEBER AVE., FLOOR STOCKTON,CA 95202 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 /> ENVIRONMENTAL HEALTH <br /> TING PERMIT FLER kMOERGROLMO STLERME TIAL FACILITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> PIE Number Record ID Number Capacity Contents Permit. Status From To <br /> 2360 00i TA1921r11 {103725 12,000 Unleaded 0', Conditional Permit 01/01/99 12/31109 <br /> 1:360 002 T A 1 2 003715 12,000 Unleaded 0. Conditional Permit 01/01/99 11/31/99 <br /> 2360 034 TA192303 00:3717 12,000 Unleaded 02 Conditional Permit 01/01/99 12/31/99 <br /> PERMIT CONDITION's:: <br /> 11 The PERMIT TO OPERATE will become void if AP IAL PERMIT Fees and SZR;iICE Fees are not paid and/ter the isST syjt;�+fs? fails <br /> to remain in compliance with the PERMIT CONDITION':. <br /> 2? The PERMIT TO OPERATE is granted to the TFT: 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 /> 3:1 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 1529:3, Chapter 6.7, Division 20, California Health and Safety Code. <br /> 4? The TANY. OWNER shall notify the Environmental Health Division of any proposed change in operation or ownership of the LyST <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 rerf{oval permit is required from the Environmental Health Division prior to any removal or <br /> Charge of UST system equipment.. <br /> 7:+ 'Mis 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 Perimit" may be revcked if corrections are reit completed by the datefs:? specified an inspection. <br /> PERMIT TO OPERATE an LIST FACILITY issued to; C:I F'EsW+��+._fC:TS CO <br /> PI--1 BOX 603G" <br /> PERMIT'S: TO OPERATE and nd ANNL)AL_ PERMIT FEE PAYMENT' are NOT TRANSFERABLE <br /> and rfta y be "U"PENDED c,f. REVOKED KED f+,y. cause. <br /> THIS: F"OM MIST BE DI-`9..A YED C-L-ftSPICULIMLY ON THE PREMISES <br /> RE&JtATED FACILITY: ?=ARCO AM PM #E,4SO* Account ID; 0003134 <br /> !G17 W FREMONT ST Facility 10: 0036VJ6 <br /> S:TOC.k.T+SN, CA 9GPermit Printed; 04/16/99 <br /> FILLING ADDRE ' ,F,C:+-I F I`ILik r'-; CCI <br /> ATTN: ENVIRONMENTAL HEALTH & SAFETY <br /> PO BI_i,a G.0 38 <br />