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SAN JOAN COUNTY PUBLIC HEALTH $VICES <br /> i P O Box 388 • SeocKToN, CA 95201-0358 • PeONE ) 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 /> ENVIRONMENTAL HEALTH <br /> 91 1� rT I N r+1""I T FCC( 0140�e 13T LWAG . Tom: FNCIL.Irir <br /> Tank Tank Permit Annual Permit Fee Valid <br /> P/E Number Record IO ka-ter Capacity Contents Permit Status _ Frou To <br /> 2360 Cu)3 Tpi984i13 004202 12:000 Unleaded O! Active Permit u 01/01/95 12/31/95 <br /> 2360 004 TA198404 '004203 12,000 Unleaded 01 Active Permit 01/01/95 12/31/95 <br /> 2360 005 TAI%405 004204 12,000 Unleaded 01 Active Permit 01/01/95 12/31/95 <br /> 2360 006 TAIN406 004205 550 01 Active Permit 01/01/95 12/31/95 <br /> PERMIT CONDITIONS ! <br /> 11 The PERMIT TO OPERATE will become void if ASND PERMIT Fees and SERVICE Fees are not Paid and/or the UST systemis) fails <br /> to remain in compliance with the PERMIT CCfiDITIONS. <br /> 2) The PERMIT TO OPERATIE is granted to the TANK OWER 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 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 /> 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 rd any PrGposed 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 from the Environmental Health Division prior to any removal or <br /> change of UST system equipment. <br /> 7) This PERMIT TO OPERATE shall Tint be considered permission to, violate any e:xi=.ting laws, ordJianres or statutes d( other <br /> federal, state or local agencies. <br /> w <br /> PERMIT TO OPERATE an UST FACILITY issued to, CUSTOMER CO, T':.-IE <br /> 4447 PARK RD <br /> BEN TC:TA, rA 94S10 <br /> PERMITS TO OPERATE and ANNUAL. PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause . <br /> TIHIS r=ig y'?d.)9:T DISPLAYED COW-WIL-UW, 'tl �..)N TnE ISaES <br /> a: s a # <br /> REGULATED FACILITY; CHEAPER 76 Account IN 0001392 <br /> ,90 N MAIN Facility ID; 001:393 <br /> MANTEC:A, CA 9.5336 Permit Printed; 019/13/94 <br /> BILLNG ADDRESS: <br /> CHEAPER 76 <br /> ATTN : CHEAPER 76 <br /> PO BOX 886 <br /> BENICIA, CA 94SIO <br />