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" SAN JC&UIN COUNTY PUBLIC HEALRVICES <br /> P O Box 388we SroCxTox, CA 95201-0388 • Paoiv (209) 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA HERRN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVMONME 1 LCL HEALTH H —rk <br /> CF1036ATIWa PERM I T EItirR k, DEQ'GRCXRZ STORAGE T NK F A'V'I L_I Y <br /> Tank Tank Permit. Annual Permit Fee valid <br /> PiE N.Aber Record ID Number Capacity Contents Permit- Status F,op.-i To <br /> 2.360 (Wil TA.KS747 008'Z75 20,GC! Diesel 01 Active Permit >v1{(►1I3s, 1L{ ;t;Y0 <br /> 2360 (±D3 TAS055749 008276 8,000 Unleaded 01 Active Permit 01!01196 121{1196 <br /> 2''A-G (Q TA5057498 W,8277 Q) Unleaded 01 Active Permit 01/01/36 121111946 <br /> PERMIT CONDITIONS: <br /> '_ The PERMIT TO OPERATE will becoi* void if ANNUAL PERMIT and SERVIH Fees are rT.,t paid and/or the Lk,-:T 5ystem(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TCI (AERATE is granted to the TANK: _ r` R who accepts responsibility for operating and monitoring the UST system <br /> according te. State underground storage tank laws and regjlations as well as any conditions e5tabli5hed by San Joaquin County. <br /> 3) The TANK OPERATOR(S), if different free the tank corner; shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING AGREEMENT required under Section 2529:3, Chapter 6.7, Division 20, California 4ealth and Safety CDde. <br /> 4) The TANK OVER shall notify the Enviponmental Health Division of any proposed change in operation or ownership of the LIST <br /> SysterB. <br /> S) Upon any change in equipment, design or operation of this facility, tte PERMIT TO LTERATEwill be reviewed by the <br /> Environmental Health Division. <br /> 6! A construction or removal permit is required from the Environmental Pealth Division prior to any removal or <br /> chanqe of UST system equipment. <br /> 7) T`sis PERMIT TO CKRATE shall not. be corrsi.dered permission to viol-at <br /> .e any existing laws, ordinances or stat.ates of other <br /> federal: state cnr local agencies. <br /> PERMIT TO OPERATE an UST FACILITY issued to! MOORE PET',CILEr_1M <br /> Pi_I E:1�'X 67 <br /> E,Ht,{T A, C:` <br /> PERMIT,-Z; TO OPERATE clr id ANN(-JAL PERMIT FEE PAYMENT are NOT TRANSFERABLE <br /> and rrr=ty bp SL 1:E%PENDED c-r FiEV%-.*:ED f c-r c elusr_ . <br /> TSI~~ FL M- T PE DISPLAYED Cx-PICILMO.. Y LENS T1-1E PREMISES <br /> REGIA.ATED FACILITY: MOORE PET RC ILEUM Account ID% 000'3'34S4 <br /> 5777 _ FRENC:14 CAMP RD Facility 10; ("10'-.1:4-77_ <br /> FI:LNCIf CAMP, C:A 34523 1 Permit. Printed, 0 5 E: <br /> BILLING ADDRES=S-: <br /> t!1CiORE; :TERRY & DIANE <br /> ATThi% t°11,%+_%RE_ PE TP OL-E:t iM <br /> E%ANTA , CA 9S304 <br />