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SAN JOAfr COUNTY PUBLIC HEALTH VICES <br /> P O Box 388 Sroc:x�roN, CA 95201-0388 • Puo 09) 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA HERRN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> OFSRATING fi=t MT ELS 4J"D .a GPA- 1 4STUSAGE TAS.;. FACILITY <br /> Tank Tani; Permit Annual Permit. Fee Valid <br /> P/E Number _Record ID Number Capacity Contents Permit Status Frog To <br /> 2380 001 TA159501 003556 2,000 Unleaded 02 Conditional Permit 01/Ol/_37^ 12!31/97 <br /> 738-0 rot TAI59502 003665 10,000 Unleaded 02 Conditional Permit 01/41/97 12/31!97 <br /> 2380 003 TA159503 003670 10,000 Diesel 02 Conditional Permit O1i01/97 12131197 <br /> PERMIT CONDITIONS: <br /> 1) The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SER'JICEL Fees are rfrit paid andfir the UST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PER IT TO OPERATE is granted to the TANr 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) The TANK OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING AGREEMENT retired under Section 25293, Chapter 6.7, Division 20, California Health and Safety Code. <br /> 4) Tne IANI; OWNER shall notify the Environmental Health Division of any proposed change in operation or ownership of the UST <br /> system. <br /> 51 Upon any change in equipment., design or operation of this facility, the PERMIT TO OPERATE will be reviewed by the <br /> Environmental Health Division. <br /> 6) A cansf.ructinn or removal permit is required from the Environmental Health Division prior to any removal or <br /> change of UST system equipment <br /> 7) 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 /> 8) A "Conditional Permit" may be revoked if corrections are not completed by the date(s) specified an inspection. <br /> PENIT TO OPERATE an UST FACILITY issued to: BOKIDE=-, MEL <br /> 265 E CANTERBURY OR <br /> c:TOCKTON, CA 9S2ir7 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENT'S are NOT TRANSFERABLE <br /> and may t'e SUSPENDED or REVOKED for. ca_ Tie . <br /> THIS .FCf k "LIST IBE 'DISPLAYED CCW3PICWj1SLY 03H 714�4—= PRENI'SE.r <br /> f � 4 <br /> REGULATED FACILITY' C L._`;'^ P T^i , ,:M B P Account unt I0; 0003159 <br /> KOS E HWY 2F, Facility ID: 003.591. <br /> ,_..f.16 PerSi.#_ Printed: 03!21/97 <br /> BILLING ADDRESS; OLYMPIAN/M B P <br /> 2131 NAVY DR <br /> :TOC:KTOCd, CA 9S !()E. <br />