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SAN JOVE TJIN COUNTY PUBLIC HEALTH SrRVICES <br /> 304 E.WEBER Av&,4r31RD FLOOR • STOCKTON,CA 95202 • PbAE(209)468-3420 <br /> KAREN FuRsT M.D.,M.EH, HEALTH OFFICER <br /> DONNA HERAN,R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> QLPEAATI:NG PERMIT FOR L*M)1E]RG9KKA0 STORAW TAW, FACIILITY <br /> Tart Tank Permit Annual Permit Fee Valid <br /> P/E Number Record ID Number rapacity Contents Permit Status From To <br /> 2360 ON TA102805 004974 12,000 Unleaded 02 Conditional Permit 01/01/98 12/61/98 <br /> 2360 006 TA102M 004975 5,000 Diesel 02 Conditional Permit 01/01/98 12/31/98 <br /> PERMIT CONDITIONS : <br /> 1) The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SERVICE Fees are reit paid -and/or the lr?T system(s) fails <br /> to remain in compliance with the PERMIT CONDiTIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TAW. 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) 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 25293, Chapter 6.7, Division 20, California Health and Safety Code. <br /> 4) The TAW LAR shall notify the Environmental Health Division of any proposed charge in operation or ownership of the UST <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 /> E•) A construction or removal permit is required from the Environmental Health Division prior to any removal or <br /> change of UST system equipment. <br /> 7) This 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 /> 81) A `Conditional Permit" may be revoked if corrections are not completed by the date(s) specified on inspection. <br /> PERMIT TO OPERATE an UST FACILITY issued to: _STEPHENS ANCHORAGE <br /> PO PDX G70 <br /> STOCKTON, CA 952,C11 <br /> PERMIT'S TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and ria-ay t,e cF•ENDED ur REVOKED fnr cause . <br /> THIS FOS MVIST BE DISPLAYED CB ICi1G Y (IN TIRE PREMISES <br /> I <br /> REUATED FACILITY: STEPHENS ANCHORAGE* Account ID: 000396 <br /> 4.9.50 W BROOKSIDE RD Facility IDS 003811 <br /> STOCKTON, CA 95207 Permit Printed: 03/02/98 <br /> BILLING ADDRESS: STEPHEN'=S ANCHORAGE* <br /> PO BOX 670 <br /> ,STOCKTON, CA 3S2i>1 � <br />