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SAN JO IN COUNTY PUBLIC HEALTH CES <br />304 E. WEBER AVE., FLOOR • STOCKTON, CA 95202 • P!ll5NE (209) 468-3420 <br />KAREN FURST, M.D., M.P.H., HEALTH OFFICER <br />DONNA RERAN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br />ENVIRONMENTAL HEALTH <br />F AT Ara IT FOPUW-AkErIaRTY,440'=TC S Tom:. FACILITY <br />Tei <br />l Tank Permit <br />contents <br />Annual Perriit Fee Valid <br />FrUh To <br />2:qO <br />001 <br />TA128801 <br />006607 - <br />101 000 <br />Unleaded <br />01 <br />Active <br />Permit. <br />01/01/58 <br />12/31/5e <br />2:80 <br />003 <br />TA128203 <br />007442 <br />10,000 <br />Diesel <br />01 <br />Active <br />Permit <br />01101/58 <br />12/31/98 <br />2380 <br />002 <br />Nt73802 <br />00,7650 <br />10,000 <br />Unleaded <br />Al <br />Active <br />Permit <br />01/01/58 <br />12/31!58 <br />PERMIT CONDITIONS: <br />1) The PERMIT TO OPERATE will become void if ANNUAL PERIMIT Fees and SERVICE Fees are not paid and/or the UST system(s) fails <br />to remain in cogfpiiance with the PERMIT CONDITIONS. <br />2) The PERMIT TO O'P'ERATE is granted to the TANK. OWNER who accepts responsibility for operating and rv_nitoring 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 OPERATCIR(S), if different froar the tank owner, shall operate and monitor the UST system according ti' the 4 IT?EN <br />OPERATING AGREEMENT required under Section 2525', Chapter 6.7, Division 20, California Health and Safety Code. <br />4) The TANK O4IJER shall notify the Environmental Health Division of any proposed change in operation or ownership of the ii3T <br />system <br />S) 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 removal permit is required from the Environmental Health Division prior to any removal or <br />charge of UST system equipment. <br />71 This PERMIT TO OPERATE shall not be considered permission to violate any e.:ist.irra laws, ordinances or statutes of other <br />federal, state or local agencies. <br />PERMIT TO OPERATE an UST FACILITY issued to: VAN DE POL E:NTERPRI _cS <br />PO E.O:K 1107 <br />-'IOCKTFN, CA 9.501 <br />PERMIT=: TO OPERATE aid ANNUAL PERMIT FEF_ PAYMENT'S are NOT TRANSFERABLE <br />acid rnaw t,e SUSPENDED or REVOKED f'_'r cause. <br />-THIS: FLAT `MI MIST EE IDIS`4IL,fR' M, tCIONSPICWSE Y C T'HE I IMISES. <br />REGULATED FACILITY; VANC:O Account 11 0(0703 <br />?n N 1.lEST LN Facility ID; 004058 <br />'=:TOC}:TCiN, CA 13 S0 I Permit Printed; 03/02/58 <br />dTLLING ADDRES; VANCCI <br />AT TN; VANDEPCIL_ ENTERPRISES, INC <br />Pi I BOX 1107 <br />cT ICk:ION, CA _1S2,01 <br />