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i SAN JO/*JIN COUNTY PUBLIC HEALTHVICES <br /> P O Box 388 TT STocKrpN, CA 95201-0358 • Peo 209) 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA HERRN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> q ENVIRONMENTAL HEA��L�TH �� &Tw <br /> Rl it tl"L' ._ q C +X_^Rh IIt STCjRRw]� TARY .: t, <br /> Tank: Tank Permit Annual Permit Free Valid <br /> P/E Nuriher Record IB Number Capacity Contents Permit. Status From To <br /> 2360 006 TA505758 043285 12,000 Unleaded 0, Active Permit — 0110119:% 12/31/97 <br /> 2360 007 TA505759 008286 1_,000 Unleaded 01 Active Permit 01101/97 12/31/97 <br /> 4360 008 TA505760 008237 12,000 Unleaded 01 Active Permit 01/01/97 12(31/137 <br /> PERMIT CONDITIONS : <br /> 1) Inc PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SERVICE Fees are not paid and/or the UST systems) fails <br /> to remain in compliance with the PERMIT (INDITIONS. <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 .an Joaquin Ccounty. <br /> 3) The TANK OPERATOR(S), if different from the tank owner, shall operatx 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 /> ) The TANK M-14ER shall notify the Environmental 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, the PERMIT TO OPERATE will be reviewed by the <br /> Environmental Health Division„ <br /> 6) A construction or removal permit is required frog 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 /> PERMIT TO OPERATE an UST FACILITY issued to; CHEVRON U)S' <br /> PO BOX 6004 <br /> SAN RAMON, CA 94S83 <br /> PERMIT: TG OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRAM FERABL.E <br /> a.nd rnaty Lie SH'S� 'ENDED cat REVOKED f or c ao4si= . <br /> PHI'S I*"iR14 . :d DI`'�°l�F��'�ED '7LEWSPICULEWt LY Ali T-u ��iB .S <br /> REGULATED FACILITY; ::HE':%R ; -:ly TNC #9I..f.S # Account ID, 0003293' <br /> 334 E MAIN 1:T Facility ID: 00,3714 <br /> ^TPON; 71A _Te-266 Permit Printc-d. 03/28/37 <br /> BILLING ADDRESS; CHEVRON ll'=,A <br /> ATTN: KATHY NORRI=:/PERMIT DE_;k. <br /> PO Eti[1X S004 <br /> SAN RAMON, CA 94583 <br />