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SAN JOA*92MLN, <br /> NTY PUBLIC HEALTH SC <br /> P O Box 388 CA 95201-0381 • PHONE*( 46nM <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 /> UR4"3 PERMIT FORt/ 'F B :a ; Tv,.RAGE TMW,,. EA+TaILM <br /> Tank: Tank Permit Annual Permit Fee Valid <br /> P/c Number Record ID Naber Capacity Contents Permit. Status From To <br /> 23up 001 TA233201 004516 1,000 -- ---- 01 Active Permit 01101196 12/31/96 <br />( I <br /> PERMIT CONDITIUNB: <br /> _1 The PENIT TO OPERATE will become 'void if ANNUAL PERMIT Fees and SERVICE Fees are not paid andicm the l!ST system(s) fails <br /> to remain in compliance with the PERMIT NDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TAW OWNER who accepts responsibility for operating and monitoring the UST system <br /> according to State underground storage ta'�l laws and regulations as well as any conditions established by San Joaquin County. <br /> 3) The TANK OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br /> OPERAT!% AGREEMENT required under Section 25293, Chapter 6.7, Division 20, California Health and Safety Code <br /> 4? The TANK OWNER shall notify the Envirannvental Health Division of any proposed change in operation or ownership of the UST <br /> system. <br /> 5i Upon any change in equipment, design oi% operation of this facility, the PERMIT TO OPERATE will be reviewed by the <br /> Environmental Health Division. <br /> 6:a A construction or removal permit is required from the Environmental Health Division prior to any removal or <br /> change of UST system equipment. <br /> 71 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 /> PERMIT TO OPERATE an UST FACILITY issued to, E,ROADEASE INC <br /> :3189 DANVILLE BLVD <br /> A1..AMO, CA �3a.Sp7 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENT'S` are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause . <br /> THf'S FLORM MUGST 6E DISPLAYED C IC1XkP LY OK T-HE PREMISES <br /> REGULATED FACILITY; JIFFY LUBE Account ID; 00"3320 <br /> 114 tly* Facility ID; 003741 <br /> MANTEC:A, CA 95:336 Permit Printed, C�5/r_2i9f. <br /> BILLING ADDRESS; <br /> IFFY LUBE <br /> ATTN, BROADEA'=;E INC: <br /> DANV I LLE BLVD #227"') <br /> ALAMO, CIA 94507 <br />