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SAN JOASTIN COUNTY PUBLIC HEALTHMtVICES <br /> P O Box 388 S OCKTON, CA 95201-0388 • Puo 09) 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 /> IIPWS" PEP-"IT FUR t*4C ;$RI=+fF1+ILn STORAGE TAN'4;ri: FACILITY <br /> Tank [and Permit Annual Permit Fee Valid <br /> P/E Number Record ld Number CapacityContents Permit. Status From To <br /> 23'ri0 001 TA159701 0047- 12,000 Diesel ------ 01 Active Permit 61101/95 12/31/95 <br /> 2380 002 TA159702 014740 12,ON Unleaded Oi Active Permit Oi/01/95 12/31/95 <br /> 23.30 003 TA159703 004741 12,0',)3 Unleaded 01 Active Permit 01/01/95 12/21/95 <br /> 2381? 004 TA169704 004742 12,OM Unlead d 01 Active Permit 61/01/95 12/31196 <br /> PERMIT CONDITIONS : <br /> 1) The PERMIT TO OPERATE will become void if ANN!1AL PERMIT Fees and SERVICE Fees are not paid and/er the UST =.ystemisi fails <br /> to remain in compliance with the PERMIT CONDITINS. <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 County. <br /> 3? <br /> The TANK OPERAMR(S?, if different from the taO owner, shall operate and monitor the !aT system according to the WRITTEN <br /> OPERATING ACiREE19ENT refi trod under Section 25293, Chapter 5.7, Division 20, Californiz health and Safety Code. <br /> 4) The TANK OWNER shall notify the Environmental Health Division of any proposed change in operation or ownership of the UST <br /> syst.em. <br /> 6) Upooi any change in ecpipnent., 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 any removal or <br /> change Of UST SystemTequipment. 1. �y c � <br /> 7? This PERMIT TO OPERAIE shall not be considered Permission to violat.rr'any exlstin-laws,'erdinalrtes or statute=_ of Other <br /> federal, state or local agencies. <br /> 4: #- <br /> 'C MT T <br /> };PERMIT TO OPERATE an UST FACILITY issued to: GOMEZ, MARIAN <br /> PO BOY 117-2113 <br /> f-FI )I , CA '3 40 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause . <br /> T41S FORM PKIST EFE DIS-F"YM CsT ICUOi Y [IN THE PREMISES <br /> REGJLATED FACILITY; 3 F. ' '3 "fftUCl': P, AL)'TC1 F'LA A Account IO: C,�j;j<481 <br /> 1..1749 N T140RNTON RD Facility ID: n00482' <br /> i._ODI , CA 9G240 Permit Printed! OS;Cs_,gt, <br /> kSILLINv ADDRESS: <br /> F: ' cS TR11C:K & AU 1 O PLANA <br /> ATTN: BOKIDE;; INC: <br /> Pu Ea_1*i <br /> LODI , CA 9S240 <br />