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SAN JOAQU COUNTY PUBLIC HEALTH SEP- `CES <br /> P O Box 388 • %1°oc ETON, CA 95201-0388 • PRONE (2697W468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA HERRN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> OP041ATIWG PER"IT FOR C GRMM ST(RA61E TAS(: FACILITY <br /> Taro; Tank Permit. Annual Permit Fee t'aiid <br /> plc Number Record ID hA.�her Capacity Contents Permit Status From To <br /> ?80 005 T4176305 004242 12,000 Unleaded Oi Active Permit 01/01/47 12/31/47 <br /> -MO 006 T4176306 004243 12,000 Unleaded 01 Active Permit OV01147 12/31/47 <br /> 13% 007 T4176307 004245 12,C9,V Unleaded 01 Active Permit 01/01/47 12/31?47 <br /> PERMIT CONDITIONS: <br /> 11 The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SERVICE Fees are not paid and/or the UST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 21, The PERMIT TO OPERATE is granted to the TANK OWNER who accepts responsibility for operating and monitoring tte UST system <br /> according to State underground storage tank laws and regulations as well as any conditions established by San Joaquin County. <br /> 3i The TAW OPERATDR(S), if different from the tank owner, shall operate and monitor the UST system according to the WR11TEEN. <br /> �fRATING AGREEMENT required under Section 25243, Chapter 6.7, Division 20, California Health and Safety Cafe. <br /> 4) The TAM): W ER shall r0ify the Environrental 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, tte PERMIT TO OVERATE will be reviewed by ttie <br /> Emironmental Health Division. <br /> 6) A construction or removal permit is required fro*° the Environmental iiealth Division prior to any reRaoval or <br /> change of UST system equipment. <br /> 7) This PERMIT TO OPERATE =_hail not be considered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an UST FACILITY issued 'Q: CHEVRON EISA PRODUCTS CFI <br /> Pi BOX 6004 <br /> SAN RAMON, CA 94.5E <br /> iERMITS T1 OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED nr REVOKED f r,r c auise . <br /> THIS FORM MUST BE ®ISPLAVM C0tWICXXXMLY ON THE PRE"ISES <br /> REGULATED FACILITY: CHEVRON STATION #81848 Account ID: 0003266 <br /> 1tv YO'=EMITE AVE Facility IO; 003707 <br /> MANTECA, CA 99336 Permit Printed: 03125;47 <br /> BILLING ADDRESS: CHEVriON USA PRODUCTS CO <br /> PO BOX 6004 <br /> SAN RAMON, CA 94583 <br />