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SAN JOA' CQ 1 Y PUBLIC HEALTH `RVICES <br /> P O Box 388 a SrocicToN, CA 95201-0388 • PHONlYNOMM) 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 /> OPERATING PERMIT FOIR L?NDEhf3ifiOUND' STORAGE TAW' FACILITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> Pir Rumber Record ID Number Capacity Contents Permit Status From To <br /> 23p'0 001 TA138601 006550 554 Unleaded 02 Conditional Peridt. L01/. 12131/95 <br /> PERMIT CONDITIONS: <br /> D The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SERVICE Fees are not paid and/or the UST systwsi fails <br /> to remain in compliance with the PERMIT CWITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TANG. WR 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 /> The TANK. OPERATOR(S), if different from the taxi! owner; shall operate and monitor the UST system according tD the 41RiTTEN <br /> O <br /> PEATING AGREEMENT required under Section 75293, Chapter 6.7, Division 20, California Health and Safety Code. <br /> 4i The TANK OWO shall 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 C4'ERATE will be reviewed by the <br /> Environmental Health Division. <br /> 6" A construction or removal permit is required from the Environmental Health Division prior to any removal or <br /> change of UST system equipment. <br /> 77 This PERMIT TO OPERATE shall not to considered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> 8? A `_o?xlitional Permit' may he revoked if corrections are not completed by the date(s) specified on inspection. <br /> PERMIT TO OPERATE an UST FACILITY issued tc; TRAC:Y CITY POLICE DEPT <br /> 400 E TENTH ST <br /> TRACY, CA 9537G, <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> t + # # } <br /> THI'S FORM MUST BE DISPLAYED CONSPICUOOLISLY ON THE PREMISES <br /> + v + a. <br /> REk-MATED FACILITY; TRACY CITY Poo IC_= DEPT Account ID. C?V ? r.?7 <br /> 400 E TENTH ST Facility ID, 003074 <br /> TRACY . CA 95376 Permit Printed, 08.11111;.1; <br /> BILLING ADDRE`iS; <br /> TRACY CITY POLICE DEPT <br /> ATTN : TRACY CITY POLICE DEPT <br /> 5r3,0 S TRACY BLVD <br /> TRACY , CA 96376 <br />