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SAN JOt� COUNTY PUBLIC HEALTHRVICES <br /> P O Box 388 Sroc:KToN, CA 95201-0388 • PHo 09) 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA HERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> i$TIO F IT Fes. U4rEsUffG ST�# E TANK RC Il_3TS' <br /> Tank Trl: Permit Annual Permit Fee valid <br /> P1E Number Record M Number Capacity Contents Permit. Status From To <br /> 23x0 Dt)i TR125t)1 0%583 14,400 !eleaded 01 Active Permit 01/41137 12/31/37 <br /> PERMIT CONDITION : <br /> D The PERMIT TO OPERATE will berime void if AN IAL PERMIT Fees and SERVICE Fees are not paid and/or the VST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted too the TAN'' OWER who accepts resR,0951biljty 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 TERATOR(S), if different frorn the tank owner, shall or-erate and monitor the UST system according to the WRITTEN <br /> OPERATING AGREEMEW rewired under Section 25293, Chapter 6.7, Division 20, California Healtf: and Safety Code. <br /> 4) Thr INC OWNER shall not.jfv the EnvircMOental 1lealth Division of any proPosed change in cseration or ownership of the UST <br /> system. <br /> 5) Upon any change in equipRrcnt, design or operation of this facility, the PERMIT TO OPERATE will be reviewed by the <br /> Environorental Health Division. <br /> 5) A construction or removal permit is required from, the- Environmental Health Division prier to any removal or <br /> change of UST system equipment. <br /> Ti This PERMIT TO OPERATE shall not to considered permis5jr,n to violate any existing 'jaws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> a * A g 4 <br /> PERMIT TO OPERATE ar. UST FACILITY issued to; PACIFIC : BELL <br /> 26 l_,WATT AYE STE 4 <br /> SACRAMENTI O, CA r45'SI <br /> PERMITS TO OPERATE aid AW-JAL. PERMIT FEE PAYMENTS a,.,e NtsT TRAN`=FERABLE <br /> ,--rod rimy tic- C-Y-PEhiDED cr RE'JOKED fc,r o=a_ase . <br /> THIS FLVW11 14LST BE DIS APED {;1 T=CUQU,%_C ON THE PREMISES <br /> REiULATEQ FACILITY! PACIFIC: :Ei_L Account ID: W6911 <br /> ;l tifSN- RD , Facility ID` tW4045 <br /> UCI.TssPl , CA SS It Permit Printad; U3%?8/37 <br /> BILLING ADDRESS: 1 At":IFTC: BELL <br /> ATTN : PERMIT DESk: <br /> PC, E;O*X 6.018;:,_, <br /> SACRAMENTO, CA 9.5860-18= <br />