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SAN JOA—UIN COUNTY PUBLIC HEALTH " ,RVICFS <br /> P O Box 388 �.r SPocKToN, CA 95201-0388 • Pno1�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 /> L-WV ATING PERMIT FOR WDERGROLNO STORAGE TAME FACILITf <br /> Tank Talk Permit Annual Permit Fee Valid <br /> P/E Number Record ID Nuaber Capacity Contents Permit Status Frac To <br /> 2360 �5 TA10t805 104974 12,000 Unleaded 01 diveermit 01/01/95 12!'31% sem <br /> 20 906 TA192806 004975 5,090 UrdSl 01 Active Pert-it 01/01/95 12/31195 <br /> PERMIT CONDITIONS; <br /> 1) The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SERVICE Fees are not paid and/or the trST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS- <br /> 2) The PERMIT TO OPERATE is granted to the TANK' 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 C'Wnty <br /> 3) The TANK OPERATOR(S), if different from the tank owner, shall operate and monitor the 'AT system according to the MITTEN <br /> OPERATING AGREEMENT required under Section 25293, Chapter 6.7, Division 20, California Health and Safety Code. <br /> 4) The TANK NCR shall notify the Environmental Health Division of any proposed change in operation or ownership of the ',BST <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 /> 6) A construction or removal permit is rewired from the Environmental Health Division prior to any removal or <br /> change of UST system equipment. <br /> 7) This PERMIT TO CrPERATE =_.hall rpt be considered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an UST FACILITY issued to; STEPHENS ANCHORAGE <br /> PO B---'X 570 <br /> STOCk.- ON, CA 9S201 <br /> PERMITS TO OPERATE and ANNUAL. PERMIT FEE PAYMENT: are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause . <br /> THI'S FOR" MUST 141E DISPLAYED CCNSF'I SLY ON THE PREMISES <br /> REGIAATED FACILITY; STEPHENS ANCHORAGE Account. 16; 000:339E, <br /> 4950 W BROOKSIDE RD Facility ID; 003811 <br /> STOCKTON, CA 95207 Permit Printed; 08/11/9S <br /> BILLING ADDRESS; <br /> STEPHENS ANCHORAGE <br /> ATTN; :STEPHEN=; ANCHORAGE <br /> PO BOX 570 <br /> _:TOC:K:TON, CA9.S2.01 <br />