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_ SAN JOA4kN COUNTY PUBLIC HEALTH $VICES <br /> p O Box 388 • STOCKTON, CA 95201-0388 • PHONE ) 465-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENMONWNTAL HEALTH <br /> SIT FORL*VM MMD ST ,T FACILITY <br /> Annual Permit Fee ai <br /> Tank Tank: Permit Permit Stags_ From To <br /> PIE t��aLer Record Ii'_ _ Mutaber Capacity Contents U2 Canditicnai Perk'tit U1/UL;97 12131()7 <br /> 2r J (kt1 TA2576U_. 005494 8,UC:U Unleaded U2 Conditional Permit 01101/97 12!31197 <br /> Zs9U UU2 TA257S02 005495 $,ODU Uniea <br /> cledPERMIT CONDITIONS: <br /> Tne PERMIT TO OPERATE will become void ii MM Al PERMIT Fees amdRVIt Fees are not said arxdtnr the lsT systems) fails <br /> to remain in ccmpliance with the PERMIT CONDITIONS. <br /> yi The PERMIT TO OPERATE is granted '�a the Tim OBER wtc' accepts responsibilit+ for operating and mentter.rr, the UT systery <br /> acttmditg to State underground storage tdnk; laws arra regulations a5 well as ai,y -onditions established b+ :.?an Jraquin C.cunty. <br /> +-- the UST system accordicg to the WRiTTEti <br /> 3) The TAW OPERATORCS), if different frig, the tank owner, shall operate and mon: . <br /> 1FERAT.ING AGREpt'ENT required under Section 25233, Chapter 6.7; CJivis.or 2C, California Health and Safety COGS. <br /> e) The TAW CAGREWMER shall rP'tifY the Enviro 'aental Health Division C4 any proposed change In C�Feratwn or ownershsp of tta UST <br /> system. <br /> 51 pment, design or operation ,of this facility, -,hpPERMIT TO OPERATE will be reeiewei t<Y the <br /> t}pnit any Change in e4+i <br /> Environmen-a! Health Division. <br /> is required from the Environmental Health Division Prior to any removal or <br /> 6) A Construction or removal permit <br /> change of UST system equiptaent. <br /> 7i This PERMIT TD OPERATE Shall 15��t be considered per9�'s551+)n to violate any existirn.3 law's, Ordinances or Statutes of of r <br /> federal, state or i cal agencies. <br /> c;) A "Conditional Fermit" may be revoke if correc..}ns are not. comppieted by the date(s) specified on ins- c :C'n. <br /> PERMIT TO OPERATE an UST FACILITY issued to,. ELSIJMGRI ; NAGAB G <br /> 5' :; KEY AVE <br /> E <br /> RIPON, CA 953E.6 <br /> PERMTT'_; TO OPERATE and ANNUAL PERMIT FEE PAYMENT: are NOT TRANSFERIAELE <br /> a'rhd stay be USPENDED ar REVOKED for cause . <br /> m <br /> THIS F "jST BE D,S`FLAY�k C IC=1A -Y ON WE MBEs <br /> Account TD. 0060712 <br /> REGULATED FACILITY RTF iPIA MARKET Facility ID: W0713 <br /> a;4jp�j"T Permit Printed: 03!28'97 <br /> CA :� : 'c r, <br /> BILLING ADDRESS. RIPAN;-; MARKET <br /> 23 WASijINGTitN <br />