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SAN JOAN -IN COUNTY PUBLIC HEALTH Sr VICES
<br /> 304 E.WEBER AVE.,'1 niRD FLOOR - STOCKTON,CA 95202 - PHONE(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 /> i 'C-1 +r-0 -1-F'.- i' ''M1 i'l
<br /> 4. ~ '�,.t
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<br /> Tank ainn_;as 'eii
<br /> NuiT,ber Record IO Number Capacity C_,nt.~=rt5 Permit- 'status From -
<br /> �SCa 0% TA5057'r- i?�7o C` ,Ot Unleaded til Active e'er it 01 MI
<br /> Sia ��IjS TA5Ca5"; �CPS?10 12,000 Unleade'i 01 Active Permit. Cal/Jli''�'S l _'
<br /> CaOC TAj57S::3 00 :i11 ,(ltjtj Diesel 01 Active Perrit. (a1/nl/ i
<br /> Pra-'R 'iIT C'C1NDITI►JAI=a :
<br /> ii The FEFistIT TO OPERATE will become void if ANNUAL PERMIT Fees and SERVICE Fees are Tio,t paid ai'ri/,x the UST system's) fails
<br /> to remain in cuitpliance with the PERMIT CONOITIONS.
<br /> 2) The PERMIT TO CERATE is granted t_c, the TANK OWNER wFn, accepts TeSpr3n5ii{=1ity fr,T operating and n!�,rtiGC,ri?g the 1J-T sy5teatt
<br /> according to State underq;�cur!d 5tor'age tank laws and regu-12tions as well as any conditions established by San :kajuin 1rounty.
<br /> ?i The TANK CPERATOR(S), if different- from the tank owner: shall operate and monitor the UST system according toth 6'RITTEN
<br /> r'.DERATING AGREEMENT required urtder Section M-521, Chapter 5.7, Divisio-n 20, California Health arra+ Safety Code.
<br /> 41 The TAN. OWNER sFiall notify the Env]r,runir!=nt.3l Health Division of any proposed change in operation or ownership of t},e CS T
<br /> system.
<br /> el (Mprin any change in eq!Jiputent, design oroperat.ion of this facility, the PERMIT TO OPERATE will be reviewed by thr-
<br /> Ertvironmental Heald'! Division.
<br /> `.a A construction or rf2Ttn_Yal pe7ti!]t 25 Tedi ]-re,� from the ETtVirOnii!e�ttai Heaiti! D]v15ic,n prl ,r t�, aP.l refi!t,Vdl or
<br /> chane of USJ _ystem equipment,
<br /> T r' n- t i i - i {--
<br /> 7,a Tfia; FERM1T !U tP_RATE shall not be considered peT�ii!]s5]nn o violate any e-,]sting laws, ord] lances o,T statues ;f other
<br /> t`ederal, state or local agencies.
<br /> #: #
<br /> PERMIT TO OPERATE an UST FACILITY is51-ed to: F1' V' :f r Ill_-. I.._
<br /> FRENCH _:ti r' C i
<br /> '1-F��?1IT'. T.-i {! r3Tf I�! �'; -r R r
<br /> PER _ v i �1F`l;1 A _PEM1I T F F'AYINENT'_ r� r -. . -
<br /> tI tc i i!; ;,w _�!_�:,-.F`L� 1?�1) t'1E,.. v•'_I�'.GL !t'I'' cSL3`.,�,.
<br /> F LST BE its I cls YE0 CCO�I CLIL- .SLY L ! SHE: PREM i°I ISRE
<br /> 4:
<br /> h;=:rrL;yT_-, FACILITY: .T _� I FY1t-:h}...FTS Acco,!�nt ID: 1'00109
<br /> : i. i EL �,_, '��Ci :T Facility ID: 00011,
<br /> rr..;riz, ! i w r ' i �t�' ; PriTt .ed; (1 !` -,a
<br /> F
<br /> ATTN
<br /> r!ya E:ci R 14
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