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SAN JOAQI$iN COUNTY PUBLIC HEALTH SE$VICES <br /> ' } 304 E.WEBER AVE.,TIwO FLOOR • STOCKTON,CA 95202 • PHON.,1109)468-3420 <br /> KAREN FURST,M.D., M.P.H., HEALTH(OFFICER <br /> DONNA HERAN,R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> C ERATII PERMIT FOR UNDERGROUND STORAGE TANK FACILITY <br /> Tag:; Tank Permit Annual Permit Fee Valid <br /> E Number Record ID Number Capacity Contents Permit Status From To <br /> c360 005 TA176305 004242 12,000 Unleaded 01 Active Permit 01/01149 12/31199 <br /> 006 TA17M 004243 12,0W Unleaded 01 Active Permit 01/01/99 12/31/99 <br /> <_50 (107 TA176307 004245 12,000 Unleaded 01 Active Permit. 01/01/99 12/31/99 <br /> PERMIT CONDITIONS; <br /> li The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SERVICE Fees are rot paid and/or the UST system(s) fails <br /> to remain in compliance with the PERMIT C13NDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TANK OWNER who accepts responsibility for operating and monitoring the UST system <br /> according to State underground storage tank laws and regulations as we'll as any conditions established by San Joaquin County. <br /> 3i The TANK OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING AGREEMENT required under Section 25293, Chapter 6.7, Division 20, California Health and Safety Code. <br /> 4) The TARP( OWNER shall rktify the Environmental Health Division of any proposed change in operation or ownership of to UST <br /> system. <br /> S) Upon any charge in equipment, design Or operation of this facility, the PERMIT TO OPERATE will be reviewed by the <br /> Environmental Health Division. <br /> 6i 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 /> M # 4 A <br /> PERMIT TO OPERATE an UST FACILITY issued to; CHEVRON USA PRODUCTS CO <br /> PO BOX 6004 <br /> SAN RAMC CN, CA 94.583 <br /> PERMITS TO OPERATE arid ANNUAL PERMIT FEE PAYMENT= are NOT TRANSFERABLE <br /> arld ma'y t-e ' ,USPENDED or REVOk::ED fc--r cause . <br /> THIS FUIRMa M)ST BE DISPLAYED CON'SPICILKXJSLY ON THE PREMISES <br /> I ?K iC 4 4 <br /> REGULATED FACILITY, CHEVRON =,TATION #91848 Account ID; ON286 <br /> 1257 W YOSEMITE AVE Facility I0; 003707 <br /> MANTECA . CA 95:3:36 Permit Printed; 04/28/43 <br /> _ILLING ADDRESS; CHEVRON USA PRODUCTS CO <br /> PO BOX 6004 <br /> SAN RAMON, CA 945,_;.; <br /> Iw/ <br />