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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> P O Box 388 • SroCKTON, 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 /> OPERATING PIEMIT FOR 1i143EI2 dMM STORAGE TANK 4=ACILITY <br /> Ta-* Tank Permit. Annual Permit Fee Valid <br /> HE Number Record ID Number Capacity Contents Permit Status _ From To <br /> 2=50 Off' TA152803 0046,56 525 Unleaded tit Active Permit 01/01;95 12/31/55 <br /> 2360 (04 TA152804 004897 525 1,�1e dw 01 Active Permit +)1;0165 12!31(95 <br /> PERMIT CONDITION= <br /> 1) The PERMIT TO OPERATE will become void if AWAL PERMIT Fees ani SERVICE Fees are not paid and/or the UST system(s) fails <br /> to remain in compliance with the PERMIT CONDITILNIS. <br /> 21 The PERMIT TO OPERATE is grantee to the TAN!( 0OO who accepts resporpsibility 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 Toaquin County. <br /> '} The TANK OPER4TOIt(S), if different from the tank owner, shall operate and Ignitor the UST system according to the PITTEfi <br /> OPERATING AGREEMENT reciuired under Section. 2R%, Chapter 6.7, Divisicn 20, California Health and Safety Code. <br /> 4) The TANK ON1ER shall notify the Environmental Health Division of any proposed change in operation or ownership of the LAST <br /> system. <br /> 5) Llpon 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 Divisi_n prior to any rerrrovai or <br /> change of UST sistem equipment. <br /> 7) This PERMIT TO (t°p1tATE shall not be considered permission to violate any existing iaws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an UST FACILITY issued to; LIBERTY RURAL FIRE DISTRICT <br /> 24124 N BRUELLA RD <br /> ACAMPO, CA 962"2'I <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause . <br /> THIS FUR" PUST BE (}ISPLAYED C,OWPICt Y C*4 Te E PAISES <br /> _GATED FACILIP; LIBERTY RURAL FIRE DISTRICT Account ID; 000,3380 <br /> 24124 N BRUELLA RD Facility 10: 00379S <br /> ACAMPO, CA =52X1 Permit Printedi 08/11 /5!5 <br /> BILLING ADDRESS: <br /> LIBERTY RURAL FIRE DISTRICT <br /> ATTN! LIBERTY RURAL FIRE DISTRICT <br /> 24124 N PRUELLA RD <br /> ACAMPO . CA 95220 <br />