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SAN JOAOUIN COUNTY PUBLIC HEALTH SERVICES <br /> 304 E.WEBER AVE HIRD FLOOR • STOCKTON,CA 95202 • _ ,NE(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 /> F"SQ,-;1 I P ry 1 T Ft ?TER. R-L-k-VD ST C R T�� <br /> Tank Tani; PeTmit Annual Permit Fee Valid <br /> P!ENumber Record ID Number Capacity Contents Permit Status Froffl To <br /> 2 O3v CIC}:{ TAt17703 004611 to10+0 Unleaded 01 Active Permit. 01i01!y9-, 121311119"c" <br /> PERMIT C:OND I T I r_IN'3* ; <br /> 1:I The PERMIT TO OPERATE }will become void if ANNUAL PERMIT Fees and SERVICE Fees are not paid and/or the UST system(s) fails <br /> t•o remain in ccit(±r?liance With the PERMIT CCINDITIONS. <br /> 2) The PERMIT TO OVERATE is granted to thTANY..' OWNER who accepts responsibility for operating-and monitoring the VST system <br /> according to State underground storage tank laws and regulations as we'll as any conditions established by San Joaquin County. <br /> ') The TANK. OPERATOR(S), if different frons, the tank darner, shall operate and monitor the UST system accordin-:1 to the WRITTEN <br /> OPERATING AGREEMENT required u :6-r Section 2529.31 Chapter 6.7, Division 2o, California Health and Safety Code. <br /> 4i The TAt#.; OWNER shall o!dt•if y the Environmental Health Division of any proposed change in operation or ownership of tete UST <br /> system. <br /> .5*% Upon any change in equipment, design or operation of t.hiS facility, the PERMIT TO OPERATE will tie reviewed by the <br /> Environmental Health Division. <br /> 6) A construction Or removal permit, is required frc@ the Environmental Health Division prior to any removal or <br /> change of UST system equipment. <br /> /.I This PERMIT TO OPERATE shall not be considered permission 1.0 violate any eeistireg laws, ordinances or statutes o:f other <br /> federal. state or local agencies. <br /> 41, # :> <br /> PERM-IT 7?! OPERATE an UST FACILITY issued toOT N K= - :+_iFiL THE <br /> r-.-, <br /> -C-:A 9S22C <br /> PE f1M I TS TI_f I_IF`-=RATE d E <br /> Ar---lNl•_+�_;L_ PEF.M I T !=Ery E'AY_M'ENT'- NC'�.I'� T T A11%1'�;FE';, G't_ <br /> c!!lid rria v L,P- '_<<_ -j E IaL)E�l tt i i` �EVCIkf L} ? r-p C j4.L4 m,,n <br /> 744 IS, F0L� M-A&T BE D I SPLAYED C ONESP I:C.-XV61-Y 000 T�:- FRE I;SES., <br /> REGULATED FACILITY; =;TCIC:}.::TC:IN EtEC:I_tF;C:# Account. ID: 0003336 <br /> if_I E MARV.E T QST Facility IDO 003767 <br /> 1.;TI=IC k':TIJh4, C.A '-iS 2`!I:: Perrr;i t. Printed03/02/98 <br /> $ILLING ADDRESS. T'- RRC'-0RD+ <br /> CA 9S`-i-;i <br /> r _ <br /> a <br />