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SAN JOAQCOUNTY PUBLIC HEALTH SECES <br /> Ak <br /> 304 E.WEBER AVE.,T FLOOR • STOCKTON,CA 95202 • PHOW09)468-3420 <br /> KAREN FORST,M.D., M.P.H.,HEALTH OFFICER <br /> DONNA HERRN,R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> OPERATING PERMIT FOR UNDERGRCiUND ^TORAGE TANK: FACILITY <br /> Tank Tank Perrr,it Annual Fermi' Iee Valid <br /> P/E _ Nu;+!ber Record iD Aiuffber Capacity <br /> Contents Permit Stztus From To <br /> 1., 0(t TA1179906 005414 11000 Unleaded 02 Conditional Permit 01101199 12/31/99 <br /> ,. 4t, <br /> 2,!"v 007 TA137807 N5428 10,000 Diesel 02 Conditional Permit. 0./01/99 12131/39 <br /> PERMIT CONDITIONS : <br /> 1) The PERMIT TO OPERATE will berome void if ANNUAL PERMIT Fees 'and SERVICE Fees are not paid and/or the USS. systems) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TANK: OWNER who, accepts resperosibiliti for operating and monif>rirg the UST systefe <br /> according to State underground storage tank laws and regulations as well as any conditions established by Sar, Joaquin Clunty. <br /> 3. The TANK OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system accwrding to the WRITTEN <br /> :OPERATING AGREEMENT required under Section 25293, Chapter E•.7, Division 20, California Health and Sa 4ty bode. <br /> C The TANK OWNER shall notify the Environmental Health Division of any proposed charge in operation or vnership of the UST <br /> system. <br /> 5) Upon any change in equipment, design or operation of this facility, the PERMIT TO OPERATE will be re iewi 1 by the <br /> Environmental Health Division. <br /> 6) A construction or removal permit is rewired from the Environmental Health Division prior to any rem val r <br /> charge of UST system equipment. <br /> 7) This PERMIT TO OPERATE shall not be considered permission to violate any existing laws, ordinances st iltes of other <br /> federal, state or local agencies. <br /> 8) A "trnditional Permit" may be revoked if corrections are riot comrpleted by the dates) specified on ,rper ion. <br /> PERMIT TO OPERATE an UST FACILITY is=sued to, PACIFIC: C.OA:,T PRODUCER:3 <br /> Pi BOX =80 <br /> LODI , CA 9.5:24ir <br /> PERM_TS TO OPERATE aid ANNI.1AL PERMIT FEE PAYMENT' .;:kye NOT TF NS F ,RABLE <br /> and rra.y he St1:.PENDEE) or• RF..WC4;ED f„?, r;auj-e . <br /> # <br /> MASST BE DI,S;yF`LAYED C004SPI�1OL1,91LY ON THE PR ISC a= <br /> 9 4: ¢ 9 <br /> REGULATED FACILITY; PACIFIC COA:;T PR,-DtiCER3* Account ID. 000340 <br /> 32 E TO, --.AY Facility ID; 003301 <br /> Li.p? , +,^A ^�21n Permit F'rintr"df 0�:6f9r <br /> BILLING ADORES'; PACIFIC: COAST PRODI. CP7r,S <br /> PCI BOX 'G-RC, <br /> LODI , CA 9.52,41 <br />