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- SAN JCUIN COUNTY PUBLIC HEAL RVICES <br /> P O Box 388 • STocKToN, CA 95201-8388 • Pso (209) 468-3420 <br /> ERNEST M. FUIIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA HERRN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVMONWWAL HEAL Y 11 <br /> 10-FRAT I SIT E0 * CkWO STORAGE `IC •'.: FACILITY <br /> Tank Tank; Permit Annual Permit fee Valid <br /> PiE limber Record 19 Number Opacity C-c-rit.ents Permit Status From To <br /> 2 046 TA-504542 OA74K 10,000 ilnleade+d 01 Active Permit 011011% 121311% <br /> 2'.��t! 044 TA5442(m) 007431 12,000 Unleaded 01 Active Permit 01101/96 121311r-r <br /> 23'30 005 TA504001 ?07452 10,E Unleaded 01 Active Pem.it 01101196 12/31/16 <br /> PERMIT CONDITIONS : <br /> 1) The PERMIT T3 LPERATE will tern* void if A# IAL PERMIT Fees and SERIOCE Fees are €o' paid and/or the UST system(s) fails <br /> to remain in coupliarrce with the PERMIT CONDITIONS, <br /> 2) The PERMIT TO OPERATE is granted to the TAS. OWNER who accepts respons-lbility for operating and fonitoring the IST system <br /> according to State underground storage tank laws and rf-gulations as well as any, conditions established by San Joaquin county. <br /> 3) Tike TOW OPERATOR(S), if different from +he tank owner, shall operate and monitor Lire tIST systea according to the WRITTEN <br /> OPERATING kREEMENT required under Section 2525+3, Chapter 6.7, Division '20, California Health and Safety Com. <br /> A) The TAIVE OWNER shall TK-tify the Environmental Health Division of any proposed change in operation or ownership of the UST <br /> syst.ea,. <br /> 5) �Iprjn any change in equipment., design or operation of this facility, the PERMIT TO OPERATE will be reviewed by the <br /> Environmental Health Division. <br /> F) A construction or removal pep%it• is required from the Environmental Health Division prior to any removal or' <br /> change of QST system equipment.. <br /> 7) Tfi,is PER#fIfi T.� C4ERATE shall rot be considered per�,ission to violate any existing laws, ordinances or statutes of otter <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an UST FAC=ILITY issued to; C=HI MAI HANG E;U I D I EN BU I <br /> t�llT~ TIS, 8R Eli �'� a. MARL. ?U'41Ti FEE PA S ave- NOT TRS' ES E <br /> �aay be S.. *FE ` or, REVOKED for c:a t�. <br /> THIS FORM MUST BE DISPLAYED C:ON P I C.UOVSLY ON THE PREMISE'S <br /> REGULATED FACILITY; TONY,3' E,E.AC �N Account ID: 0007692 <br /> 23SO E WATERLOO Facility iD; 1-"t1.)f-;3d*, <br /> STOCV'TON, CA _iS20-1; permit Printed; <br /> BILLING ADDRESS+ BEACON <br /> ATTN; T!..►NYS BEACON <br />