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_ SAN JOAQUIN COUNTY PUBLIC HEA"'H SERVICES <br /> 304 E.WEB. .vE.,THIRD FLOOR • STOCKTON,CA 952v� • 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 /> QVIERAIrRaG PURNIT FOR UWEREROUnD 1-37IGR49E TAM, FACILITY <br /> Tank: Tara Perrrif. Annual Permit Fee Valid <br /> P/E NU ber Record ID %ifber Capacity Contents P'erfiitt Stators FrcI To <br /> 2360 004 TA121104 004494 10,01,0 Unleaded D'1 Conditional Permit 01101/_32 <br /> 23,60 005 TA121105 0044'35 10,C% Unleaded 02 Conditional Permit 01/01198 12/31/S'j <br /> 2360 OOG TA12110b (x)44':7 10,000 Unleaded 02 Conditional Permit 01/01/92 i2!31I'+'3 <br /> PERMIT CONDITIONS : <br /> 1 " The PERMIT TO OPERATE will becose void if ANM"A1AL PERMIT Fees and SERVICE Fees are rxt paid and/or the I T system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TANK WER who accepts responsibility for operating and monitoring the USI system <br /> according to State underground storage tank laws and regulations as well as any conditions established by San JoacpAn County. <br /> 3) T e TAMC OPERATOR(S), if different fru, the tank owner, shall operate and monitor the UST =system according to the WRITTEN <br /> OPERATING AGREEMENT required under Section 25'1'33, Chapter 6.7, Division 20, California Health and Safety Cc&-. <br /> 4) The TANY, W ER shall ratify the Enviror>fiental Health Division of any proposed change in creration or ownership of the UST <br /> system. <br /> 5) Upon any change in equipmEnt, design or operation of this facility, the PERMIT TO OPERATE will be reviewed by the <br /> Environmental Health Division. <br /> 6) A construction or removal permit is required from the Environmental Health Division prior to any reranvai 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 /> $) A Tondilional Permit° may be revoked if corrections are not completed by the date(s) specified on inspection. <br /> PERMIT TO OPERATE an UST FACILITY issued to: EXXON CCVPANY. USA <br /> PO BOX 41_126 <br /> HOUSTON, TX 77210-43;:6 <br /> PF_RNIT_T' TO OPERATE and ANNUAL PERMIT FEE PAYtIENT': are NC!T TRAN!--;FEF'AE:LE <br /> nrr3 ri,a'Y L-c- SUSPENDED CI, REVOKED i 0r, [c1,LJS= . <br /> TIHII'S; FOS", MIKAST EE DISSiF!UXVM UN THE PFtEWIlSE <br /> # <br /> REGULATED FACILITY; EXXCIN #71,1135 Account ID, 0004504 <br /> PACIFIC AVE Facility ID: 002409 <br /> 1 <br /> 'ITOCKTON , CA 9522i17 Permit. Printed: 03/02/9 <br /> BILLING ADDRESS, EXXON #701-2:6. <br /> ATTN : L S• FA PERMITTING <br /> PI 1g1,_X 4:= ?r, <br /> iIN <br /> HOU-.TTs 7- <br /> s7- 1 ti3 ..5 <br /> r. <br />