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SAN JOAeI�7N COUNTY PUBLIC HEALTH SF"`7ICES <br /> AL �1 <br /> 304 E.WEBER AVE., I...RD FLOOR - STOCKTON,CA 95202 - PHOmE(209)468-3420 <br /> KAREN FURST,M.D., M.P.H., HEALTH OFFICER <br /> DONNA RERAN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> '`Fk�TING IF`ERM I T FM UNDERGROUND STCRAGE TAW Ft ILJL T <br /> Tank fang' PeT'il t Annual PeTmit Fee Valid <br /> p.'E Plumber Record IU yu,=-- CCap cif..v �,n +.:,--C Permit Sta;L� Fr}gra To <br /> 2' I 6 6 TASIjS78S- 001-- 6,wo I)I Active Per ,it (rlr''(Ill_�c 12/31!93 <br /> [ S TAS<'S7'�4 - 3111 12,0(X) Unleaded 01 Active Permit (IliCllf 12131!rA <br /> 2'36 004 TAS0.5731 008311 6,41`0 Diesel 01 Active Permit 01I01f98 1212-168 <br /> i <br /> PERMIT CONDITIONS: <br /> I The PERMIT TO OPERATE will become void if ANWAt PERMIT Fees and SERVICE Fees are not. paid ands_�r tte UST systems' fails <br /> to remain in compliance with: the PERMIT CONDITIONS. <br /> 2! The PERMIT TO OPERATE is granted to the TAN* OII> : who accepts responsibility for operating and monitoring the 11ST system <br /> according to State underground storage tank laws and regulations as well as any conditions established by San Joaquin County. <br /> :3) The TAN.. OPERATOR(S), if different from the tank owner, shall operate and monitor the t!ST system according to the WRITTEN <br /> CFERATING AGREEMENT rewired under Section 25293, Chapter 6.7, Division 20, California Health and Safety Code. <br /> 4) The TANK OMER shall notify the Environi!ent-al Health! Division of any proposed change in operation or ownership of the t)SEN <br /> system. <br /> S? Upon°any change in equipff!ent, design or c�peratic-n of 'this facility, the PERMIT TO OPERATE will be reviewed by the <br /> E-Piirr_lnmental Health Division, <br /> 6) A construction or removal perli!it is required froth the Environmental Health Division prior to any removal or <br /> chane of UST system equipment. <br /> 7) This PERMIT TO OPERATE shall not be considered permission to violate any existing laws, ordir!ances or statutes of other <br /> federal, state or local agencies. <br /> Al <br /> PERMIT TO OPERATE an LIST FACILITY issued to; F!SV-`, JAME E; L <br /> =;11 S EL DORADO <br /> FRENCH CAMP, CA 35231 <br /> PERMITS TO OPERATE and ANNkjAL PERMIT FEE PAYMENTS are NC1.T TRANS.'FERABLE <br /> l' (! c _ . , iIft � _ EY_ � cause - <br /> THIS <br /> :ue -THIS FLOM r&1q-T BE D19:1LAYED CONSPICtCUSLY ON THE PREMISES <br /> RE&JLATED FACILITYs :? L& L. MARKET* Account ID, 000)106- <br /> ,G),I I S <br /> 00?106-;;11.5 S EL DI sRAIDO `lT Facility ID (10110 <br /> FRENCH CAMP, CA 95*.42:31 Permit Printed; 03!0219 <br /> DIE LINED ADDRESS; F I'=K, OT AME' L <br /> I!TTC'! ; ;A1+E ; !_ F I-2;K. <br /> F'I�I .I_!n 147' <br /> FRENCH CAMP . ,rA 9SZ-21 <br />