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SAN JOA&TIN COUNTY PUBLIC HEALTH AFVICES <br /> P 0 Box 388 W STocKToN, CA 95201-0388 0 PHoNM09) 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> TOR E T—,: F-ACILITY <br /> 3F-SRATIN6 PERMIT FOR S G AG <br /> Tank Ta.4 Permit Annual Permit Per- ''alid <br /> P fkqiber --Re?,-ord ID mer Capar,i t-y Coptents Permit q1ta-tus Frew, 10 <br /> --i rl, 19.5 <br /> 2-60 TO 4 TAIW—.A 100507S 12�000 Ur-leaded 01 Active Permit 0 1/C";'! —1,i <br /> 21260 0M5 TAIO3$05 000075 slow Ui-ileaded 01 Active Permit 01/0 ;jS I�tzlzir4r"t <br /> PFRMIT CONDITIONS: <br /> ITC Will 'f AMP H; T <br /> PERflT -E Fees ape i-rjt Paid anxj!or the US systeiV.s.) foils <br /> 1) T!-,c- PERMIT TO OPER become void - 4T Fees and C <br /> to,j r"- airi in compliance with the PERMIT COOITIONS. <br /> PERMIT TO OFTRATE is granted to the TW' OWNER who accepts responsitility for operating avid rnonitopiig the UST systeem <br /> according to :tate iAepgroLmd storage tank laws and reqWQ-tions as well as any io7t-C'itions established by Sart joagjin cojunty. <br /> S) The TA ' NERATOR1S), if different from the tankowner, shall operate and monitor the syz L according the ArTTEN <br /> OPER-41-TNG 4163REEMENIT required under Section 25293, Chapter 6.7, Division 2f), fety C <br /> S <br /> Health and ' cde. <br /> CaliforniaI a <br /> 4) The '14% OWER shall notify the Environmental Health Division of any Proposed change in operation or ownership of the tr-:T <br /> r <br /> 5) *fn any change in equipq*nt, design or op-oration of this facility, the PERMIT TO OPERATE will .',e reviewed by the <br /> Environmental Health Division. <br /> 6) A construction or removal Permit is recNilre-d from the Environmental Health Iiivislor, prior to any reffoval 01 <br /> change of UST system eauiptent. <br /> This PERMIT TO OPERATE shall Pot be cc-Tr-sidered permission to violate any existing la�, ordinances or statutes of <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an UST FAC.TtITY issued to: VILL-AGE WP,-.T MA'(--..TNA <br /> '�.,CA ERID DR <br /> 6649 EMBLI . ADE <br /> PERMITS TO OPERATE and ANWAL PERMIT FEE PAYMENTS ape 11410T TRANSFERABLE <br /> and may t-e SUSPENDED or REVOKED ior cause . <br /> THIS F'OR" MUST 2E DISPLAYED Cj[WSPICLWAJSLY ON TI-F- IPREMI <br /> + <br /> V <br /> roUrlt TC.: <br /> VILLAGE �jE,-::;T MARR-Ii jNA Ac, A <br /> RE(SULATED FA(.'ILITv%, <br /> GG49 EMBARCADERO DR Facility TO: 00'7�lD. <br /> STOC-`TON, CA 5 '09 Permit Printed, I I <br /> BILLI K' ADDRESS: <br /> VILLAGE WE S'T MARINA <br /> ATTW LIW-:OLN VILLA!---;17- WEST MARINA <br /> A-G 4 q- EMBARCADEF-111-i D R <br /> - <br /> S T 0---*.K T 0-11 CA 9 S <br />