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SAN JOAQ- N COUNTY PUBLIC HEALTH SF" VICES <br /> P O BOR 388 • ' KION, CA 95201-03M • PHONE (200) 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 /> ENVIRONMENTAL HEALTH <br /> CITING PERMIT FOR IxMO L"D STORARE TAW FACILITY <br /> Tank: Taal: Permit Annual Permit Fee Valid <br /> P,E Number Record ID Number Capacity Contents _ Permit Status From To <br /> 2360 005 TA102805 004374 12,000 Unleaded 02 Conditional Permit 01/01197 12/31/37 <br /> 230 006 TA102806 004975 51000 Diesel 02 Conditional Permit 01/01/97 12/31/97 <br /> PERMIT CONDITIONS ; <br /> 1) The PERMIT TO OPERATE will become void if N#A AL PERI"1T Fees and SERVICE Fees are not paid andtor the UST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TANK OWNER eo accepts responsibility for operating and monitoring the UST system <br /> according to State underground storage ta; laws and regulations as well as any conditions established by San Joaquin County. <br /> 3) The TAW OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according tr the WRITTEN <br /> OPERATING AGREEMENT required under Section 25293, Chapter 6.7, Division 20, California Health and Safety Crate. <br /> 4) The TANK OWNER shall ratify the Environmental Health Division of any prc"osed change in operation or ownership of the UST <br /> system. <br /> 5i 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 /> 5) A construction or removal permit is required from the Environmental Health Division prior to arty 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 /> 8) 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 /> PCS BOX 670 <br /> STOCK:TON; CA 95201 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and rf-ay be SUSPENDED c-r REVOKED f,ar cause . <br /> THIS FORM MUST BE DISPLAYED CONSPICCO(A)S1_Y ON THE PREMISES <br /> REGULATED FACILITY; =%TEPHENS ANC:HORAGEP Account ID. 00013% <br /> Facility ID: 003811 <br /> STOCY•,TON, CP. TR"M Permit Printedt 03/28/97 <br /> 6ILLIN6 ADDRESS: STEPHEN' ANCHORAGE# <br /> Psi BOX 670 <br /> STOC:K:TON, CA 95'x01 <br />