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SAN JOIN COUNTY PUBLIC HEALTH S" VICES <br /> 304 E. WEBER AVT✓., THIRD FLOOR • STOCKTON,CA 95202 • F..-,NE (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 /> 1-FVWING PERMIT FOR L44DERGROUND STORAGE TAW FACI A I T <br /> Tanak Taint, Permit Annual Permit Fee Valid <br /> F`,`c xnber 'Ltord ID Number Capacity Contents Permit. Status Frorr, To <br /> -66 — 007 T�t'';':s7 003799 10,00 Unleaded fit Active Permit 01!zi1/_r9 12/31!9r4 <br /> i►�'1801 lq,(()rl Unleaded UI Active Permit 01/01/99 IU31/9' <br /> OO?-N12 10;000 Unleaded Ol Active Permit. 01IT1!:r' 12/31/9u <br /> EO 01+� 41_ O�{►3�0 10,(0) Unleaded 01 active Permit 01101/_-'9 12/31!C-SI <br /> F'EF;M 3 T CONDITIONS : <br /> 1i The PERMIT TO OPERATE will become void if A►N"UAL PERMIT Fees and SERVICE Fees are Dot paid and/or the WT system(s) fails <br /> to remain in c.=r„pliance with the PERMIT CONDITIONS. <br /> } The PERMIT TO `E;ATE 15 granted tothe TWO1 R who accepts respGnSi�Eiiity for operating and monitoring the UST systeff, <br /> according to State undergrouno storage tarn laws and regulations as well as any condlitions established by San oaquii County. <br /> The TAPS( OPERATCIR(S), if different from the tarsi: diner, shall operate and monitor. the IST system according to the WRITTEN <br /> LTERATINC AGREEMENT required Tinder Section 25293, Chapter E.7, Division 270, California Health and Safety Cc-de. <br /> 4) The 7A',ik: OWNER shall notify the Enviroriff,ental Health Division of any proposed change in operation or ownership of tkhe L?.-'.T <br /> system. <br /> c) Tappon any change in equipment, design or operation of this facillt•y; the PERMIT TO OPERATE will be reviewed by the <br /> En•.ircnwtental Health Division. <br /> A Const.ruct'on or removal permit is required fro<it the Envlronnuenta1 Health Division prior tai any removal or <br /> chairge of UST system equipment.. <br /> ;) This PERMIT TO OPERATE shall not be considered permission to violate any existinog laws, ordinances or statutes of other <br /> federal, stag or local agencies. <br /> PER!IT TO OPERATE an VST FACILITY is.suedto; _ir_I,:_: <br /> AF:T E'-;I A, CA �:•,�/r) '—i,i i:_; <br /> PEF M 11 T'_ TO OPERATE ziri j Ahlh1�!AL PEF M i T FEE 4C=NMENT'=; are NOT TF AN' I�FERAIIE <br /> ;:of-id ri;cty I}s+ :E1;_} �� ?C.�I �'�E' PE':k_IF:..ED t'•.!1' CctUS <br /> T"I'E~ FORM K)ST BE LPI DYED C-ONIRP IC LY LENI THE4FMISE7 <br /> REGJi_FTE>3 FACRTTY; AFib•s: , i A T I k=1N F,1 t x;i Accowit. ID; W3197 <br /> ,�!;,_ = p'ATTEF'S-)N PA'= F:D Facility ID; t!:?619 <br /> T RP, '';` CP ,, _7i_ Pe-i-mit. Printt-d; 04/2S/9S <br /> EI i iflfj AM-RE' PR C11 F'ROD- i_k-T C:i k <br /> TN ; E!'s1V`IF;'iia[ E^lTAC_ 4!fEALT i-6ti Ty` <br /> PC) ;Ck.h t-(), ; <br /> Cy 'TES Ii; r CY17i,T-- rti- - <br />