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SAN JC ' QUIN COUNTY PUBLIC HEALTP "FRVICES <br /> 304 E.WEBER AVr..,THIRD FLOOR • STOCKTON,CA 95202 NONE(209) 468-3420 <br /> KAREN FORST, M.D., M.P.H., HEALTH OFFICER <br /> DONNA RERAN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> (FOWING SIT FOR LRVMGRLXW1D STLERAGE TAW FAC II .?dPV <br /> Tank Tank Permit Annual Permit Fee Valid <br /> P;E Number Record 1D Number Capacity Contents Permit Status Frolrt To <br /> ,0 O05 TA14640S (04276 10,000 Unleaded 02 Conditional Perri#. 11,'01! 121 1! i <br /> 2�_'0 006 TA10 J6 004277 10,000 Un1ea?,J 02 Conditional Permit 01I011r IVIS IP <br /> 2=50 007 TA146407 004275 81000 Unleaded 0I Active Permit 01101!'-? 12!:11! <br /> PERMIT C:ONDITIONS ; <br /> 1:I The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SERVICE Fees are not. paid and/or the UST system(s) fails <br /> to remain in compliance with the PERMIT CONDITION'?,. <br /> _) The PERMIT TO OPERATE is granted to theTAtvtt OWNER who accepts esl��nsibility for oeratirt and monitoring the !'ST system <br /> according to State underground storage tank; laws and regulations as well as any conditions established by San 3oaquin County. <br /> ') The TANS OPERATOR(S), if different from the tank owner, shall operate and miDnit.nr the [JE:T system according t.r the . .1.EN <br /> APERATING AGREEMENT required under- Section 2529:,}, Chapter 6.7, Division, 20, California Health=. and Safety Code. <br /> 4) The TANK OWNER shall notify the Environmental Health Division of any propost-d change in operation or ownership of the tP_,T <br /> system. <br /> 5) t1pon any charge in equipment, design or operation of this facility, the PERMIT TO OPERATE will be reviewed by tt�e <br /> Environmental Health Division. <br /> F.) A construction or removal permit is required from the Environmental Health Division prior to any removal or <br /> change of UST system egluipgMent. <br /> 7) This PERMIT TO OPERATE stiall not be considered permission to ,violate any existing laws, ordinances or statutes of other <br /> federal, state or• local agencies. <br /> _) A "Conditinnal Permit" may be revaed if corrections are not completed by the date(-) specified on inspection. <br /> + <br /> PERMIT TO OPERATE an LIST FACILITY issued to! MAl 1 R E , TF*RR <br /> FTI E?,OX 1=.7 <br /> T'ER'M I T=; TO CiPERATF ari-d ANN..N.- PERMIT EEE PAYMENTS akr t~•0-C TR,�NSZF"ERABLE <br /> a•t"li=t fit a„ tiez, m,t"j'^:F ENDED cor RE:VCIh:.ED f con c a_i..iSe <br /> # S <br /> T HIS PQM PUST PE DISPLAYED 1 THE PREMISES <br /> REr�?�LATED FACILITY: TILER' En:r ic' ;c; .;TI_In:E +' Recount ID: 1_I(X2441 <br /> 1:399 E YCiSEMITE AIJE Facility ID: O01-146 <br /> M ANA -1, CA '3 5C!G: Permit Printed; 03/17!98 <br /> BIL+TNG ADDRESS; T113ER Ek:F'RE'--;' <br /> ATTN : M00RE JERRY <br /> PC; rE7'FJ' F, <br />