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s SAN JOA"UIN COUNTY PUBLIC HEALTH SvJIVICES <br /> It 304 E.WEBER AVEN�IRD FLOOR • STOCKTON,CA 95202 • PMOkE (209)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 /> LPMTING PEMIT E C AD ;STORAGE TAW, FACILITY <br /> Tank Tank: F'grmit Annual Permit Fee Valid <br /> PrE Number Record IG Number Capacity Contents Permit Status From To <br /> M 005 TA17005 004242 12,ON Unleaded 01 Active Permit 01/01/93 12/31/52 <br /> z3d() 006 TA176ME. 004243 12,000 Unleaded 01 Active Permit 01/01/98 12131/58 <br /> 2''30 007 TA176307 004245 12,000 Unleaded til Active Permit 01/01/98 12/31/98 <br /> PERMIT CONDITIONS; <br /> 1) The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SERVICE Fees are not paid and/or the LIST systems) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <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 well as any conditions established by San Jcquln County. <br /> 3) The TANK OPERATOR(S), if different from the tank owner, shall operate and monitor the NST 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 TANK. OWNER shall notify the Environmental Health Division of any proposed change in operation or ownership of the UST <br /> system. <br /> 5) 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'I 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 /> k # F <br /> 00ERMIT TO OPERATE an UST FACILITY issued to: CHEVRON USA PRi IDIJr:T_: C:i; <br /> PO BOX 60()4 <br /> :_AN RAMON, CA 94SS3 <br /> PERMIT:= TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and rRa.y be :_;U:.:PENDED c-P REVOk ED f Or cause . <br /> THIS: FI NST BE DISI YED CUNSPICUOUSLY ON THE E ISES <br /> R'E&ILATED FACILITY: CHEVRON ':NATION #91848 Account ID: M3286 <br /> 12S7 W YOSEMITE AVE Facility ID: 003707 <br /> MA.NTEC:A, CA 953=:=G Permit. Printed: 03/02/93 <br /> BILLING ADDPESS: CHEVRON LICA PRODUCTS CO <br /> PO BOX 5004 <br /> =AN RAMON, CA 945'8 <br />