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w <br /> • SAN JOAQMN COUNTY PUBLIC HEALTH SWCES <br /> P O Box 388 • • OCKTON, CA 95201-0388 • PnoNE (209) 468-3420 <br /> ERNEST M. FU]IMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVRONMEENTAL HEALTH <br /> LPIERAT-Np"a P=RNa F, kXF,ERGW' X%1G S JgTttE. <br /> AAMir. FP'F__hLIT,5 <br /> Tart Tank: Permit Annual Permit Fee 'Valid <br /> P/E _ Number Record IC Wumae'i Capacity Contents __Per�";it Status From To <br /> 23bG {IDA TA506321 fx376A 10,0?. Unleaded 01 Active Permit 01/01197 12;2:1/47 <br /> Z;0i 005 TA5C16322 0u8765 10,000 Unleaded v1 Active Permit :11102/97 121:1;97 <br /> 2380 006 TA 06513 008766 10,OW Unleaded 01 Active Permit 1"/01137 12131197 <br /> PERMIT CONDITIONS <br /> 1) The PERi'11T TO OPERATE will bacome void if A41UAL PERMIT Fees and 0- VICE Fees are nim paid and/or the UST system(-) fails <br /> to remain in compliance With the PERMIT (IMITILIR3. <br /> 2t The PERMIT Til OPERATE is granted to the TANK OWNER who accepts responsibility for C*,eratirr3 and monitoring the UST systems <br /> according to State Underground storage tank. laws any regulations as well as any conditions established by San "Joaquin County. <br /> 31 The TAW. OPERATOR("), if different from the tank, oumer; shall operate and maonitor the UST system according to the WRITTEN <br /> OPERATING AGREEMENT required under Section 25293, Chanter 6.7, Division 20, California Health and Safety Coe. <br /> A) The TOWER shall notify the Environmental Health Division of any proposed change in operation or ownership of the U3T <br /> system. <br /> 5) UP._,n any change in equipment, de"gn 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 U1H system equipment. <br /> 7) This PERMIT TO CFERATE shall not be considered permission to violate any exigtir; lairs, ordinances or statutes of other <br /> federal, state or local 'agencies. <br /> ;k <br /> PERMIT TO OPERATE an UST FACILITY issued to; _a_tUTHLAND CORPORATION <br /> X71 i N HASk:ELL <br /> DALLAS, TX 7.5: ;', <br /> PERi,l11 < T'.:' OPERATE Ord ANWAL PERMIT FEE PAYMENTS ar_ PJCIT T SANS ERAE;LE <br /> a"ltd may =0e _U:=,F'E"dDED REVOKED fC`r cD.ust, . <br /> TR'll : P IST BE DISPLAYED CONWICLWSLY LN THE FRCHI'RES <br /> PGGi.II ATr: FACII IT`S+. -1 -'-EVEN #4? '_]a,'F,4i '. <br /> Account. ID; 0000'3 3 <br /> 139N MAIN Facility ID; 000916 <br /> MAtdrr-:c:A, r? F: Permit Printed; 03/28/97 <br /> 8iL ING ADDRt :!U T HLAN D CORPORATI ON <br /> nT'IIN A+/r= NOR'THWEb.T DIV LOC 02'74 <br /> PO PDX 11908=; <br /> 0 <br />