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SAN JOA- TIN COUNTY PUBLIC HEALTH WVICES <br /> P O Box 388 • STocKToN, CA 95201-0388 • Pno 09) 468-3420 <br /> ERNEST M. FUIIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> U;AT1i ►;iN11_ FCR UC0ZE&CA)W S'i 4- TAW FACILITY <br /> Taiik Ta.fk Perm t Annual Permit Fee Valid <br /> PIT Number Record ID Number Capacity Contents Permit Status rrom <br /> 2?rlfl N4 TA109804 N15075 12,000 Unleaded 01 Active Permit 01101/96 12/31/95- <br /> 2:�r-.0 i�,5 TACJS 005076 5,000 Unleaded v1 Active Permit 61/01/96 12i3l/95 <br /> PERMIT CONDITIONS : <br /> 1) The PERMIT TO OPERATE will became void if AWM PERMIT Fees and SERVICE Fps are rich paid and/or the UST system(s) fails <br /> to remain in compliance with-- the PERMIT CONDITION'. <br /> 2) The PERMIT TO OPERATE is granted to the TANK OWNER who accepts responsibility for np*e ating and vjritoriTg the UST system <br /> according to State underground storage tank laws and rag<Ulations as well as any conditions establish-d by San Joaquirf County. <br /> i) The TANK OPERATCR(S). if different frock the tank miner, shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING AGREEMENT required udder Section 25233, Ctfapter 5.7, Division 20, California Health and Safety Code. <br /> 4) The TANK OWNER shall notify t-he Environmental Health Division of any proposed change in operation _ir owne-rship of the UST <br /> system. <br /> 5) Upon any charrge in egaiprent, idzsign 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 Enviromental Health Llivision prior to any removal or <br /> change of UST s-fsterrt equipment. <br /> '. This PERMIT TO OPUERATE shall not to consider-ed permission to 'violate any e:isting laws, ordir?a-nce5 of statutes of other <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an UST FACILITY issued to; V I LLAGE WE'-T MARINA <br /> C=f_49 EME`ARCACERC! DR <br /> PERMITS TO OPERATE and ANNUAL PERMIT FETE PAYMENTS are NOT 'TRANSFERABLE <br /> an d Pfia y be =,t 1'_'PENDED eco r REVO► .*ED f c,r cause . <br /> 41, <br /> REGULATED FACILITY; V I L.L_At E WE'="T MARINA Account ICS; 00 0:34 <br /> G6 A'3EMBARC ADERC! DR Facility IO; Ai r <br /> -TOC"KTCybl , C:A 95 '0-9 Permit Printed; <br /> 5IL`_I,1G ADDRESS <br /> V I L.l_AEiE WES'T MAR I NA <br /> ATTN ; L_T NCOLNI V I i._L_A-3E WE`=;T MARINA <br /> 6649 EM ARC_421E'ERO DR <br /> =�TC rCk"TON . CA 9 '0'? <br />