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SAN JO COUNTY PUBLIC HEALTH &RVICES
<br />P O Box 388 SioCi{7ON, CA 95201-0388 • PHONW09) 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 />zq`E T. i '•.i : '-i?l' C £Ri>I FD STa At�E T EACILI I'd
<br />PERMIT C:ONDITIONSi r y a nn
<br />I) The PERMIT TO OF` ATE will becco!,e void if ANNUAL PERMIT Fees and SE"NICE Fees are no. Pal- and/or the UST sv-tard=_? rails
<br />to remain in compliance with the PERMIT CONDITIONS.
<br />2) M
<br />The PERIT TO OPERATE is granted to the TANz. OWNER who accepts responsibility for operating and monitoring tt;e US? System
<br />according 0 State underground storane tanL: Ia1.as and regulations as uKl1 as any tvrditions established by San Joaquin. County.
<br />3) The TANK,, OPERATOR(S), if different from the tank. owner, shall operate and monitor the IiST system accordin^ to the WRITTEN
<br />OPERATING AGREEMENT required under Section 2529:3, Chapter 6.7; Division 20, California Health and Safety Cod:.
<br />aj The TANK OWNER st31i mi.ify the Environ ental Health Division of any Proposed char,e in x•eration or cnunership •:;f t.t= ;IT
<br />system.
<br />S1 Upon any change in equipment, design or rcerA'W of this Facility, the PERM -11 TO OPERATE will lie reviewed bi the
<br />EnvirLnsientai Maith Division.
<br />the Environmental Health Division prior to any removal or
<br />6i A construction or removal permit is required from
<br />change of UST system equipment.
<br />7) This PERMIT TO OPERATE shall not be considered perfi!ission to violate any existing laws, ordinali?res or s}-3tutes of vtt r.
<br />federal, state or local agencies.
<br />PERMIT TO OPERATE an UST FACILIT`d issued to: VAN DE PCI_ EN IERF-P !SES
<br />P GO X 11 Q
<br />: TC C'K.T..1N,
<br />PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENT'S
<br />and u,ay be SUSPENDED or REVOKED for
<br />a?IIti at _LRT Eft DISPLAYED iONSP10 'S"
<br />REGULATED FAC.IL TY; VAN, :Ij
<br />LN
<br />811-LIN7 AW. -S'S'
<br />VAMC:'•:',
<br />ATTN: VANDEi-OL ENTEf PP _;F JC:
<br />PG BC:X 1107
<br />.:TOCI."TiiN, C:A 9S201
<br />are NOT TRANSFERABLE
<br />Cause.
<br />tkTHE PRE-�I�-.S
<br />,f
<br />Fat ii 2tY 1D
<br />F'e, r, It Fr. eeL- _ - -
<br />0
<br />Permit
<br />• r
<br />4:!i ilial r-7rIZC fee '2;;l!
<br />=•/E
<br />Tank
<br />N��mber
<br />Tani:
<br />Recon ?O
<br />=----
<br />`lum ber ra atity
<br />._--
<br />(,on.t2nts --
<br />Pe*Mlf StatUS
<br />, {---
<br />(`�e Attire Permi-
<br />From
<br />nii;i/9�•-i';>i/_s
<br />TO _
<br />2�1
<br />001
<br />TA128%�)I
<br />0i>F��? 10,000
<br />ilnleaded
<br />Giese!
<br />01 Active Permit
<br />01101 /'a`
<br />?/'�?j •
<br />2'"00
<br />0113
<br />TA12886
<br />UU?492 iU;O(!t)
<br />10,000
<br />Unleaded
<br />01 Attive Permit
<br />1)t/01/95
<br />i21_+1,'S`
<br />2380
<br />0!32
<br />TA1'8O2
<br />001690
<br />PERMIT C:ONDITIONSi r y a nn
<br />I) The PERMIT TO OF` ATE will becco!,e void if ANNUAL PERMIT Fees and SE"NICE Fees are no. Pal- and/or the UST sv-tard=_? rails
<br />to remain in compliance with the PERMIT CONDITIONS.
<br />2) M
<br />The PERIT TO OPERATE is granted to the TANz. OWNER who accepts responsibility for operating and monitoring tt;e US? System
<br />according 0 State underground storane tanL: Ia1.as and regulations as uKl1 as any tvrditions established by San Joaquin. County.
<br />3) The TANK,, OPERATOR(S), if different from the tank. owner, shall operate and monitor the IiST system accordin^ to the WRITTEN
<br />OPERATING AGREEMENT required under Section 2529:3, Chapter 6.7; Division 20, California Health and Safety Cod:.
<br />aj The TANK OWNER st31i mi.ify the Environ ental Health Division of any Proposed char,e in x•eration or cnunership •:;f t.t= ;IT
<br />system.
<br />S1 Upon any change in equipment, design or rcerA'W of this Facility, the PERM -11 TO OPERATE will lie reviewed bi the
<br />EnvirLnsientai Maith Division.
<br />the Environmental Health Division prior to any removal or
<br />6i A construction or removal permit is required from
<br />change of UST system equipment.
<br />7) This PERMIT TO OPERATE shall not be considered perfi!ission to violate any existing laws, ordinali?res or s}-3tutes of vtt r.
<br />federal, state or local agencies.
<br />PERMIT TO OPERATE an UST FACILIT`d issued to: VAN DE PCI_ EN IERF-P !SES
<br />P GO X 11 Q
<br />: TC C'K.T..1N,
<br />PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENT'S
<br />and u,ay be SUSPENDED or REVOKED for
<br />a?IIti at _LRT Eft DISPLAYED iONSP10 'S"
<br />REGULATED FAC.IL TY; VAN, :Ij
<br />LN
<br />811-LIN7 AW. -S'S'
<br />VAMC:'•:',
<br />ATTN: VANDEi-OL ENTEf PP _;F JC:
<br />PG BC:X 1107
<br />.:TOCI."TiiN, C:A 9S201
<br />are NOT TRANSFERABLE
<br />Cause.
<br />tkTHE PRE-�I�-.S
<br />,f
<br />Fat ii 2tY 1D
<br />F'e, r, It Fr. eeL- _ - -
<br />0
<br />
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