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SAN JOAQLID COUNTY PUBLIC HEALTH SE CES
<br /> P 0 Box 388 9 STomToN, CA 95201-0388 0 PHONE (1W 468-3420
<br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER
<br /> DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION
<br /> ENVMONWWAL MALM
<br /> -4,1-146 PERMIT FL. ¢:.4'h CN0R-GR2#JND STORAGE TAW FACIL.ITY
<br /> A
<br /> T7,err"It Annual pr--Fq,.;
<br /> Tack
<br /> Frcti TitNffler Capacity Cri-PtePtS
<br /> 14 Pec rd TD PErmit Staws
<br /> 001 )E437 12,WO Uhileaded W Active Perm'. 01101195 i 2 1 i 5-rj
<br /> Ily 12,x:• PeA@N=-- VA Active Ferfilit O1 01 i9's 1D..
<br /> ()1101 iq,-,
<br /> 0 i cy", OW-315 is,(1100 bleaded 'I Active permit 0031 :b V .f I
<br /> PERMIT 0--INDITIONS! a
<br /> ,,
<br /> TUST cyc+e- q) fails
<br /> r_ E, nd SERVICE Fees are -not p -16 and
<br /> iilio� the
<br /> 1— PERMIT TO OPERATE will become void ;f ANWAL PERMIT Fee
<br /> to retain in compliance with the PERMIT C�O I ti'GIT 1INS.
<br /> The PERMIT Tri NRATE is ranted to the ,
<br /> TPW CAAER who accepts FesPonsibility for operating Rfld �*riitopl
<br /> tne� VST system
<br /> IEg
<br /> according to. State underground storaje tani. laws and regulations as well as any conditions est�tdished ty Sa-f-i J,jaiquin Ccej-ntY
<br /> 3) Toe TANK OPERATOR(S), if different frost the lark owner, shall operates arra T.--jon'tor tie 1,17 system accoT-dim, to the- WITTEN
<br /> OPERATIK AGREEMENT required, under Section x'521 3, ajapter 6,-,, Division 20, C-aliforni'la Health and Safety Ctde.
<br /> 4j The TANW WOR shall notify the Ervvjropriientai Health Divilsiop of any proposed change in operatim or ownership of t-4e- 1,14ST
<br /> sysiem. LX-
<br /> de5iqr, ci!� op IT TO OF'r-RATE will L-.-e reviewed t,-� ;jW
<br /> .5.1 *ff, any cha-top Jr, eewicpqfent, d eration of this farfilitY, t"- KRO
<br /> Environraental .4alth Division
<br /> i I -- any �ewval op
<br /> 6, A const-ri-iction or feffloval F'e-t;t. is reqjiFed from t�he Envirommerfal Health LD vision mor t,-
<br /> dtlan,-, of 1Lr-3J 5ntm e�luiRent-
<br /> T 'e a aT-!y existirrg, laws, OT-dipances or stati.111--s of othef
<br /> This PERMIT TO OPERATE sh-all ix-dl be considered perffiission to violate
<br /> fp.,zieral, state or local agencies.
<br /> KERMIT TO OPERATE an (K*T FA!"'Ti ITY issued to;
<br /> Pi-j
<br /> ARTF- SIA, C:A 'fit;(;.-'
<br /> PERMITS TO OPERATE and ANNOAL PERMIT FEE PAYMENTS aye NOT TRANSFERAF3LE
<br /> rrjcty be 1::; UPENDED cw REVOK'ED fc-r cause.
<br /> THIS FMjt gjST DISpLAyEl r I C-tiL lW THE PRE I SES
<br /> BE -oN-,P y
<br /> Fk�jl ITY; Ac coLint 10; `2
<br /> PERYLATU L AKO AM/Ir"Il -7.C
<br /> 9484 WEST LANE Facility ID" 00A.K.-I
<br /> 9 S' `tint
<br /> BILL!% ADDRESS:
<br /> AF AM/Pl
<br /> ATT N; WLM 1K Ar1/PM
<br /> 9484 WEST LANE
<br /> STOr-: .TON, r-A 9S 0
<br />
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