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SAN JOA IN COUNTY PUBLIC HEALTH S VICES
<br /> 304 E.WEBER AVE., RD FLOOR • STOCK-YON,CA 95202 • PIPE(209) 468-3420
<br /> KAREN FURST, M.D., M.F.H.,HEALTH OFFICER
<br /> DONNA RERAN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION
<br /> ENVIRONMENTAL HEALTH
<br /> ATI_pERPER Cy DE RG <-T I E TR FACILITY
<br /> Annual Per-mit Fe_ Valid
<br /> Tank Tank PeI•Illit From Tc
<br /> P;E Nurser Record ID Number CaPaCit y Contents Permit Status 011101/99 11213-1/-:13
<br /> , D (}1 TA14 1i}} I;[�4r.1 "VAk) Waste Ril 02 Conditional Fc-Nirit
<br /> I}I} TALI 1t+? X44,08 12,000 ;.:iesel 02, co lditional permit. i�lll�ll�4 g.,!:,t �.�
<br /> d Z; Cori itiorlaI Permit 41iGii.` 12!51l:
<br /> • t , TA'?4E1Cr3 004609 6,I Diesel �
<br /> �.J._. D: ' Other C`! Conditional Permit I)1f[lil
<br /> 004 TA2461104 (104610) 4,ON -
<br /> PERMIT CONDITIONS,. !
<br /> 1? The PERMIT TO OPERATE will become void if A110 .�AL PERMIT Fees alli SERVICE Fees are not Paid aauslor tt t�T system(s) fais
<br /> to remain in compliance with the PERMIT CI]NDITIGNIS- � a F t, I _ stem
<br /> ��) The PERMIT TO OPERATE is grantee ta, the TANK: E`ER who as Certs re-,pons lit•y for C�perat_r>:g :.nf� �u=nit•?rin'g he )`;T sy_:el<.
<br /> estab
<br /> according to tate � de�ground storage tale lad and owner gshall�3oE rat an ns as welljmonit:_,C-k�e USTssystem actordlished irrg to the San �WROTuin �ENnt.y.
<br /> 3) The TAW OPERATOR(S), it different. from he to
<br /> 11
<br /> OPERATING AGREEMENT required under Section 25293, Chanter --,.7, Division TO, California Health and Safety CAL-.
<br /> Ti-re TANK ► vER shad
<br /> not
<br /> the Environmental health Division elf any gra: ciRed chane in F�erat.lort or c�w,�rshis ofthe 'LIST
<br /> system• the ER;y±IT TC, OPERATE will to reviewed by the
<br /> 4) Upor€ any Change In equipment, design or c-Fer iilll of this facility
<br /> ET,v,ironmental Health Division.
<br /> A Cnnst•Itct•i_n r rent, val Permit. is required frca, the Environmental Health Division Prior to any remoy3l s?r
<br /> r O
<br /> r_ ;aitge of !,"ST systelft eguiPment.
<br /> '� PERMIT TO OPERATE shall n"t. considered ver��i_s1f3n tl, violate an e`•-;1_ting laws, orl�si>-,anl_es Or 5ta'-utes of loti-�Er
<br /> 7` This PD O t?
<br /> federal, state or local agencies.
<br /> II y b ri e i corrections are T.'t completed y the &ate(O specifisd On Inspection.
<br /> r- 14 I �t
<br /> F:j A "[:,_Irdit.i>:Illal �e,•msit may e I•eV_k"� f
<br /> :# #
<br /> PERMIT TO OPERATE ar, TST FACILITY issued t.o; P:'•, I,-ER i'R'_1C.-1
<br /> j II_�:,Tk Irk
<br /> CA !;21 r
<br /> PERMITS TO r IPER'HTE ANNt_j€'rl: PERMIT FEE E', 'Y HF-NT' are NOT T TRAN'-FERP-O E
<br /> , -At!'-'F'E.NDED co- RE1y0E::_C:D #f i ' cause .
<br /> .
<br /> THIS FOM T III L°L Ay-ED C ''IC SLY Ohl THE PREMISSES
<br /> Account Irl: 4 '3='7
<br /> REGRILAtTED FACILITY; F YDER T ttC:=:: y- Facility ID: 0037`:
<br /> _;-{,_sr:}::.T Ipir r'er€itit. Printed: 06/03199
<br /> R.Y C?EES T RU'--j'
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