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SAN JOAC'M COUNTY PUBLIC HEALTH SF�YICES <br /> � - 304 E.WEBER AVE.,�RD FLOOR • STOCKTON,CA 95202 • P> (209) 468-3420 <br /> KAREN FURST,M.D., M.P.H.,HEALTH OFFICER <br /> DONNA HERAN,R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> OPTING SERG <br /> IT FOR L") 'Lk STOPAGE TAW FACILITY <br /> Tank Tank Permit Annual Permit Fee 'Valid <br /> P/ENumber Record ID Number _ C:ar•acity Contents Permit Status From To <br /> 23115 005 TA162205 004954 i0,00G Unleaded 01 Active Permit 01/01/98 1213110 <br /> 2315 0A TA162206 004955 10,000 Unleaded 01 Active Permit 01/01/ 12/311/98 <br /> 2315 007 TA162P7 004956 10.0 ) Unleaded Oi Active Permit 01/01/98 12/31/98 <br /> PERMIT CONDITION'S; <br /> li The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and KRIVICE Fees are not paid and(or the LIST systems! fails <br /> to remain in compliance with the PERMIT CONDITIONS, <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 tan. laws and regulations as well as any conditions established by San Joaquin County. <br /> The TWOPERATOR(S), if different from the tankvwrer, shall operate and monitor the U:iT system according to the WRITTEN <br /> OPERATING AGREEMENT required under Section 25293, Chapter 6.7, Division 2U, California Health and Safety Code. <br /> 411 The TANK OVER shall notify the Environmental Health Division of any prOpsed change in operation or ownership of the US' <br /> System. <br /> 5) t1pon any charfge in equipment, design or operation of 'this facility, the PERMIT TO OPERATE will be reviewed by the <br /> Environmental Health Division. <br /> 611 A construction or removal permit is required iroli, the Environmental Health Division Frior 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 LriT FACILITY issued to; ULTRAMAR INC <br /> 525 W THIRD ST a <br /> HANFORD, CA 9 3%:_,t> <br /> PERMIT'. TO OPERATE rind ANNUAL PERMIT FEE PAYMENT': are NOT TRAN'=FERAE.LE <br /> and may t,e SiJc;PENDED Cr REVC1fc:ED for oaUSE- . <br /> tc 4 <br /> THIS FORM K)ST BE DISPLAYED Ci ICUL—K)I'LY ON THE PREMISES <br /> REWLATED FACILITY; E:EACON '=NATION #1-756 Account. ID; W000.54 / <br /> 1'-9'S E HWY . E Facility ID 000055 <br /> LOCKEFORD, CA 9.5237 Permit Printed; 03/02/98 <br /> 61LLIN6 ADDRESS; t LTRAMAR INC / <br /> .. TTN ; :TERRY l!nj'=.•1.,1H .. <br /> Pi i BOX q�• <br /> HAN.; ;OR'�D r4 93230 <br />