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SAN JO48UIN COUNTY PUBLIC HEALTRVICES <br /> ' P O Box 388 STOCKTON, CA 95201-0388 • PHo (209) 468-3420 <br /> ERNEST M. FUHMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> iif TIMG' FER NIT FOR (+WERGRL-kR4D ST(IrtG FSS' . E IL)TY <br /> Tar.�k Tank. Permit Annual permit Fee Valid <br /> PIE Number Record ID ,Number Capacity Contents Permit. Stat:u=, Fr=u To <br /> 2:�) 001 TA186801 006583 1o,000 Unleaded 01 Active Permit 01101/96 12f3M46 <br /> PERMIT CONDITIONS, <br /> 1) TFm PERMIT TO OPERATE will become void if ANNILIAL PERMIT Fees and SERVICE Fees are riot paid and/or the UST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT To OPERATE is granted to the TAN.. OWNER who accepts responsibility foa' operating and Monitoring the UST system <br /> according to State underground storage tank laws and regulations as well as any conditions established by San 3coaquin County. <br /> 3) The TANK OPERATM(S), if different from the tank owner. shall operate and monitor the IST system according to the WRITTEN <br /> OPERATING AGREEMENT required under Section 25293, Chapter 6.1, Division 20, California Health and Safety CO& <br /> A) The TALI. OWNER stall notify the Environmental Health Division of any proposed change in operation or Ownership of the UST <br /> System. <br /> S) Upon any change in equipment, design or operation of this facility, the PERMIT TO OPERATE will he reviewed by the <br /> Enviromental Health Division. <br /> 6) A construction or removal Permit is required from the Enviroymen{al Health Division prior to any removal or <br /> change of UST system equipment. <br /> 1) 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 /> PERMIT TO OPERATE an UST FACILITY issued to; PACIFIC BELL <br /> 64.6 WATT AVE STE d. <br /> :=ACRAMENTO, CA 55 ,51 <br /> PERMIT'S TO OPERATE arnA ANNUAL PERMIT FEE PAYMENT'S are NOT TRAN'SFERAE,LE <br /> and may be :SUSPENDED or REVOKED for cruse . <br /> THIS Ffn,4 4� NUS7 BE DIS41LAYIED CCU3 ''dCU MULY CN THE PRIEMSs`ES <br /> REGN ATED FACILITY; F'AC I F I C_ BELL Account i0, 000:3691 <br /> 4051 NEWTON RD Facility ID: 0()4045. <br /> =,TOCKTON, CA 55' '(5 Permit Printed, OS10219'6 <br /> BILLING ADDRESS: <br /> PACIFIC: BELL <br /> ATTN ; PERMIT DESK. <br /> PCS BOX GO1.GS <br /> =;AC:RAMENTO� CA -35860-1883 <br />