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SAN JOA(&N COUN'T'Y PUBLIC HEALTH SSVICES <br /> P O Box 388 TOCKTON, CA 95201-0388 • PHONE ) 465-3420 <br /> ERNEST M. FUIIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> ti;s1=ORATI PERMIT FORt> ` T;. 1C3 STORAGE T40, F=ACILITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> P/E Number Record 1D Number. Capacity Contents _ Permit Status From To <br /> 2:.330 001 TA 105701 004328 6,0W Unleaded 01 Active Permit 01/01/30 12/31/96 <br /> 2330 002 TA105702 0043.3 10,000 Unleaded 01 Active Permit 01/01195 12/31/96 <br /> 23380 003 TA105703 004330 10;000 Unleaded 01 Active Permit (11/0,11,36 <br /> ' 12/31/% <br /> 2330 004 TAi05704 004331 1,500 Unleaded 01 Active Permit 01/01/96 12/31/96 <br /> PERMIT CONDITION'} : <br /> 1i The PERMIT Tu 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 compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TANI LUNER who accepts responsibility for operatir� and monitoring the UST system, <br /> according to State underground storage tank. laws and regulations as well a any conditions established by San Joaquin County. <br /> 3) The TAW TERAMR(S), if different from the tank owner. shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING AGREEMENT required under Section 25293, Chapter 6.7, Division 20, California Health and Safety Cade. <br /> 4) The TAW OWNER shall notify the Envirtnmrental Health Division of any proposed Change in operation or ownership of the UST <br /> system. <br /> D Upon anY change in equipment, design er aeration of this facilit.Y, the PERMIT TO OPERATE will bereviewed by th? <br /> Environmental Health Division. <br /> 6) A construction or removal permit is required froth the Environmental Health Division prior to any rem,ovaI or <br /> change of UST system equipment.. <br /> 7) This PERMIT TO OPERATE shall riot he considered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local ageniies. <br /> } <br /> PERMIT TO OPERATE an UST FACILITY issued tol CHEVRON #920_::; <br /> 508 W CHARTER WAY <br /> STOC:KTON, CA 9520G. <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENT; are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> a.,QS FiCIPIM OLIST BE Dst ;AYED C4 W I0V3kl-LY ON THE PFtEMISES <br /> REGULATED FACILITY; CHEVRON #92033 Account ID, 0003299 <br /> 508 W CHARTER WAY Facility ID; 00:3720 <br /> STOCi-JON, CA 952.36 Permit Printed, 05/021/96 <br /> BILLING ADDRESS; <br /> CHEVRON #9203.3 <br /> ATTN; AMER PERSONNEL :3ER'V STE :_+":1 <br /> PC! BOX 5004 <br /> SAN RAMON, CA 94583 <br />