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4 — <br /> SAN JOA&TIN COUNTY PUBLIC HEALTH VICES <br /> P O Box 388 ! STOCKTON, CA 95201-0388 • PHO 09) 468-3420 <br /> ERNEST M. FUHMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> 'Faa —; PERMIT FOR 1 Flit ILI+!® DTs,„AM Tom' FaACaLITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> P/E Number Record ID umber Capacity Contents Permit. Status From To <br /> 23800 601 TA149801 004932 10,000 Unleaded (12 Conditional Permit 01/01i'36 12/31/96 <br /> 220 002 714149802 004933 10,000 Unleaded 02 Conditional Permit 01/()1196 12/31/96 <br /> 2380 003 TA14980:3 064935 6,000 Unleaded 02 Conditional Permit 01/01,'% 12/31/96 <br /> PERMIT CONDITIONS: <br /> 1) The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and W.- VICE Fees are Tint paid arod/or the UST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TANY, OWNER who accepts responsibility for aerating and monitoring the UST system <br /> according to State underground storage tank laws and regulations as well as any conditions established by San :inaquin County. <br /> 3) The TANK OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br /> OPERA TIN AGREEMENT required under Section 25293, Chapter 6.7, Division 20, California Health and Safety Code. <br /> 4) The TAW' , OWNER shall notify the Environmental Health Division of any proosed change in operation or ownership of the UST <br /> system. <br /> 5) Upoi any change in equipment, design or operation of this facility, the PERMIT TO OPERATE will be reviewed by the <br /> Environmental Health Division. <br /> 61 A construction or removal permit is required from the Environmental Health Division prior to any removal or <br /> change of UST system equipment. <br /> 7) This PERMIT TO OPERATE shall not be considered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> R) A "Conditional Permit." may be revoked if corrections are not completed by the dates) specified on inspection. <br /> PERMIT TO OPERATE an UST FACILITY issued to: SIERRA VIEW BAIT + TACKLE <br /> 1213 != YOSEMITE <br /> ESCAL_sN, CA 95''21? <br /> PERMITS TO OPERATE and ANNRJAL PERMIT FEE PAYMENT'S are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause . <br /> THIS FOR" PMT ERF DISPLAYM 9--L1 SPIG 9'SLY [N- THE PREMISE <br /> REGULATED FACILITY; =:IERRA VIEW BAIT & TACI:LE AccouTit IDI 00033'89 <br /> 121:< E YO'.EMITS Facility TD; 00,3804 <br /> ESCALON, CA 95:'.20 Permit Printed; OS/b' /96 <br /> BILLING ADDRESS; <br /> SIERRA VIEW BAIT & TACKL-E <br /> ATTN : SIERRA VIEW BAIT It TAC'I:LE <br /> 121:_. E YOSEMITE <br /> ESCAL N, CA 35320 <br />