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SAN JOAN COUNTY PUBLIC HEALTH S&VICES <br /> 0 P O Box 388 • STOCKTON, CA 95201-0388 • PHONE 09) 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 /> ENVIRONMENTAL HEALTH <br /> -?--T", ATJ IN`G �"I=R IT E l t�C��. O '5r3i": 1 FACILI TY <br /> Tank Tarh: Permit Arynuai Permit Fee Valid <br /> P/E Mumber Record IC Number Capacity Contents PErrirt ^t to Frorm. Tc <br /> 23E0 001 TA149801 0049:2 10,x)0 Unleaded � i!2 CO) iiional Permit 01/01157 12/31/57 <br /> 2'K'0 (112 TA 14%02 004933 10,000 Unleaded 02 Conditional Peridt 01i'01/'31 12/31/37 <br /> 2380 003 TA149903 0049^,•5 6,000 Unleaded 02 Conditional Perrdf 01/01!97 Y2icli11 <br /> PERMIT CONDITIONSI ; <br /> Y) TL- PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SEKVICE Fees are riot paid and/ur the UST systems) fails <br /> to remain in c7opliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TANK CAER who accepts responsibility for operating and monitoring the UST =system <br /> according to State underground storage tank laws and regulation=_ as well as any conditions established by San Joaquin County. <br /> 3) The TANK PPERATOR!S), if different from the tank Owner, shall operate and monitor the UST system according to the WRITTEN <br /> FERATING AGREEMENT reared under Section 25243. Chapter 6.7, Division 20, California Health and Safety Code. <br /> 4) The TANK. OWER 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, design or operation of this facility, the PERMIT TO OPERATE will b_ reviewed by the <br /> Environmental Health Division. <br /> 6) A co-�truction ar removal permit is required from tLe Environmental Health Division Prior to any removal or <br /> change of UST system equipment. <br /> 7) This PERMIT TO OPERATE shall ne be considered permission to violate any existing laws, Ordinances or statutes of Other <br /> federal, =_tate or local agencies. <br /> 3) A "Conditional Permit" nay be revoked if corrections are not completed by the datels) specified on inspection. <br /> PERMIT TO OPERATE an UST FACILITY issued to: SIERRA VIEW BAIT & TAC'r'LE <br /> 12213 E YOSEMITE <br /> ESCALON, CA 95320 <br /> F'r.RMIT'ry TO OPERATE aroJ A'IN• jAt_ PERMIT FEE PAYMENT'S are NOT TRAN'_FERABLE <br /> and ria;v he Sl1SYEN`JED c rr REVOKED f Cir cause . <br /> THIS; FM- 12i; r'.-UST BE DISPLAYED C-C PICILAA .Y ON THE PREMISES <br /> REGULATED FACILITY: =;T_ERt-tA V1'Ev1 F,r-;1 f C: TA-K1 E Account ID; 00ii'3?,39 <br /> 1213 E YOSEMITE Facility ID: 003304 <br /> E3CL;i..; Permit Printed! 03?28/57 <br /> BILLING ADDRESS: =;TERRA VIEW BAIT 2, TACKLE <br /> LE <br /> 1.213 E `rOSEMITF <br /> E'E"CAL-ON, CA 9S32C) <br />