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SAN JOAQjW COUNTY PUBLIC BEALTH SOgCES <br />P O Box 388 • TocicTON, CA 95201-0388 • PnoNe ) 468 3420 <br />ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br />DONNA HERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br />ENVIRONMENTAL HEALTH <br />i.A4 E 'a#flf ..- s= ^ l 3?EFi HiN_k 1 T� TANK FACILITY <br />eadeo fit Active Permit <br />Unleaded UI Active Permit <br />Annual Permit Fee 4aiid <br />From Tn <br />;ili0±i95 12131;95 <br />01/01/95 12/31/95 <br />PERMIT CONDITIONS: <br />1) The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SER`VL E Fees are rnt paid arra/ar tte UST systems) fails <br />to remain in compliance with the PERMIT CONDITIONS, <br />2) The PERMIT TO OPERATE is granted to the TAW OWNER who accepts responsibility for operating and monitoring the UST syst.e«, <br />according to State underground storage tank laws and regulations as we±l as any conditions established by Fan dcaquin County. <br />31 The TANK OPERATOR(S), if different from the tarp owner, shall operate and monitor the UST system according to the WRITTEN <br />OPERATING AGREPIENT recpjired under Section 25293. Chapter 6.7, Division 20, California Health and Safety Code. <br />4) The TANK. Dk.WER shall notify the Environmental Health Division of any proposed change in operation or ownership of the UST <br />system. <br />5) Upon any change in equipment-, _sign or operation of this facility: the PERMIT TO OPERATE will be reviewed by L <br />Environmental Health Division. <br />6) A construction or removal permit is recp,;ired from the Environmental Health Division prior to any removal nr <br />change of UST =system equipment. <br />ii This PERMIT TO OPERATE shall not the considered permission to violate any existing laws, ordinances or statutes of other <br />federal, state or local agencies. , <br />PERMIT TO 11PERATE an 1.1ST H"L11 issued <br />MANTE_:A C:;'T 0 <br />I :r1 W ,_ENTEE: <br />PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRAN=SFERABLE <br />and may be 'SUSPENDED or REVOKED for cause. <br />THIS FL -M M—ST BE DISPLAYED -7LWP'IC-UL*M' i t THE PR- E"I==>_-_S <br />REGULATED FACILITY, CITY i ' IIIANTEC:A "coo+r,t. !'v' <br />210 h.ETM.RE AVE y T_, <br />E i Facila <br />MAN TECA , CA '9 -r,: -f36 <br />BILLING ADDRESS; <br />"ANTEC:A, C_:ITY OF <br />i 00 1 W CENTER <br />iIA,NIECA, CA 9.53366 <br />Is <br />Tank <br />Tank <br />Permit. <br />PIE <br />Number <br />Record IDNumdier <br />Capaci <br />2384 <br />01 <br />TA14b001 <br />_ 045141 <br />lU,UUU <br />1 80UO2 <br />TA145UO2 <br />005142 <br />14,000 <br />228p <br />043 <br />TA145003 <br />OOS143 <br />10,000 <br />eadeo fit Active Permit <br />Unleaded UI Active Permit <br />Annual Permit Fee 4aiid <br />From Tn <br />;ili0±i95 12131;95 <br />01/01/95 12/31/95 <br />PERMIT CONDITIONS: <br />1) The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SER`VL E Fees are rnt paid arra/ar tte UST systems) fails <br />to remain in compliance with the PERMIT CONDITIONS, <br />2) The PERMIT TO OPERATE is granted to the TAW OWNER who accepts responsibility for operating and monitoring the UST syst.e«, <br />according to State underground storage tank laws and regulations as we±l as any conditions established by Fan dcaquin County. <br />31 The TANK OPERATOR(S), if different from the tarp owner, shall operate and monitor the UST system according to the WRITTEN <br />OPERATING AGREPIENT recpjired under Section 25293. Chapter 6.7, Division 20, California Health and Safety Code. <br />4) The TANK. Dk.WER shall notify the Environmental Health Division of any proposed change in operation or ownership of the UST <br />system. <br />5) Upon any change in equipment-, _sign or operation of this facility: the PERMIT TO OPERATE will be reviewed by L <br />Environmental Health Division. <br />6) A construction or removal permit is recp,;ired from the Environmental Health Division prior to any removal nr <br />change of UST =system equipment. <br />ii This PERMIT TO OPERATE shall not the considered permission to violate any existing laws, ordinances or statutes of other <br />federal, state or local agencies. , <br />PERMIT TO 11PERATE an 1.1ST H"L11 issued <br />MANTE_:A C:;'T 0 <br />I :r1 W ,_ENTEE: <br />PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRAN=SFERABLE <br />and may be 'SUSPENDED or REVOKED for cause. <br />THIS FL -M M—ST BE DISPLAYED -7LWP'IC-UL*M' i t THE PR- E"I==>_-_S <br />REGULATED FACILITY, CITY i ' IIIANTEC:A "coo+r,t. !'v' <br />210 h.ETM.RE AVE y T_, <br />E i Facila <br />MAN TECA , CA '9 -r,: -f36 <br />BILLING ADDRESS; <br />"ANTEC:A, C_:ITY OF <br />i 00 1 W CENTER <br />iIA,NIECA, CA 9.53366 <br />Is <br />