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SAN J7IN COUNTY PUBLIC HEALT '?VICES ---� <br /> 304 E. WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 <br /> ONE (209)468-3420 <br /> KAREN FURST,M.D., M.P.H., HEALTH OFFICER <br /> DONNA HERRN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> +L'€FiE AT>ih I ?tIT k .'LiU <br /> "SWR'pgLTd ;O;. .FACILITY <br /> Tank. Tank Permit <br /> P/E Number Record ID Number Capacity Contents Permit St Amaral Permit Fee 4alid <br /> 580 006 TP.5048G2 007480 10 Gr�J Ui, Status From To <br /> headed G1 Active Permit G1/G1/9 112/31/48 <br /> 238E 004 TA504300 007dB1 12;0(�G Unleaded 01 Active Permit <br /> 2'33�y ;1t15 TA504301 0074x2 IG CtGO 01101/98 1J31/38 <br /> Unleaded 01 Active Permit GI/01/98 12/31/48 <br /> PERMIT CONDITIONS : <br /> 1) The PERMIT TO OPERATE will becovr,e void if AIWAIAL PERMIT Fees and SERVICE Fees are not paid and/or the UST system(=.) fails <br /> to remain in ccerrliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TAM, OWNER wtR accepts responsi Elllt •y for operating and mionitoring 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 thz UST system according to t're WRITTEN <br /> OPERATING AGREEMENT required under Section 25243, Chapter 6.7, Division 20, California Health and Safety Cede. <br /> 4) The TANK NNER shall notify the Environmental Health Division of any proposed change <br /> system. in operation or ownership of the UST <br /> 5) 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 construction or rerm_val permit is required froIi, the Environmental Health Division prior to any removal or <br /> change of UST system equipment. <br /> 7) This PERMIT TO OPERATE stall not be considered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an UST FACILITY issued to; KAI DO., <br /> SAN -10s E, CA 9511 1 <br /> PERMIT_ TO OPERATE acid ANNUAL PERMIT FEE PAYMENTS Cil'@ NOT TRA ":"'ERAEI_E <br /> e.lid riidY tie SUSPENDED _ , REVOk.ED for cz:juEiC- . <br /> # # # # # # # +. <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> REGULATED FACILITY; FA:=;T r,A=a} Account iD: 0007692 <br /> 23.SO E WATERLOO RD Facility ID; 0)6343 <br /> TOC:k:TON, C:A 9S2Cl.s Permit Printed. 03/02/48 <br /> BILLING ADDRESS; FAST <br /> ATTN; KHAI DO <br /> s=,.?1 DOTEY CT <br /> SA!'l JO_;E, QA 96111 <br />