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Q SAN JO.A 1-1N COUNTY PUBLIC HEALTH JOICES <br /> 304 E.WEBER AVL., -nIRD FLOOR • STOCKTON,CA 95202 ONE(209)468-3420 {i V <br /> KAREN FURST, M.D., M.P.H.,HEALTH OFFICER <br /> DONNA HERRN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> OPTING PERMIT FOR UNDERGROXAND STORAGE TAW FACILITY <br /> Tank Tank Permit � Annual Permit Fee Valid <br /> P!E Number Record 10 Number Capacity Contents Permit Stats From To <br /> TASN441 009724 12,(*0 Prem Unleaded 01 Active P rmit 04f�11J9S 12/31/99 <br /> 005 TA50?481 x!9745 15,000 Reg Unleaded 01 Active P rmit. 04/01/99 12/31/99 <br /> ff17 T4502,493 00745 15,000 Midgrade Unleaded 01 Active Permit 04f01!99 12/31!'9 <br /> rPERMIT CONDITI►IN`s <br /> l) The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SERVICE Fees are not paid and/or tj-p-- UST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> .,., T r, PERMIT TO OPERATE is granted to the TANK OWNER who accepts responsibility for Herat-int and monitoring the UST system <br /> - according to State underground storage tank laws and regulations as well as any conditions established by San Joaquin County. <br /> The TANK OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING AGREEMENT required under Section 25293, Chapter 5.7, Division 'Xi, California Health and Safety Code. <br /> 4) The TANK NNER shall notify the Environmental Health Division of any proposed change in operation or- ownership of the !RST <br /> system. <br /> S) Upon any change in equipment, design or operation of this facility, the PERMIT TO OPERATE will the reviewed by the <br /> Environmental Health Division. <br /> fi) A construction or removal permit is required from the Environmental Health Division prior to any removal or <br /> change of UST system equipment. <br /> 7) This PERMIT TO OPERATE shall not be considered permission to violate any e, ist.ing law's, ordinances or statutes of other <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an. UST FACILITY issued t=j: ARC:CI PRCC,JC:T S <br /> PO E?,0X 6033'81 <br /> ARTESIA, C:A 9 070 3—F,0:_:__ <br /> PER:til I T' T;? OPERATE atn d At-,JN(_jAL PERMIT EEL PAYMENT='! t'NOT TRAM=FERABLE <br /> aty-id riia y h=r =,Ur F'EN jED REVCIk:EEi f, r'.a.i �Se . <br /> THIS F,1 IRM MUST HE DISPLAYED CCONSIP I CUOt JO Y ON THE PREM A:SES <br /> # + <br /> REGULATED FACILITY, ARCD '=TAT I CSN Account iD: 0003193 <br /> 1711 E YOSEMITE AVE Facility ID, 003512 <br /> MANTECA, CA 95: :sr, Permit Printed, 093!04!99 <br /> E_JLLING ADDRESS, ARCO PRC1E>L?C:T'-; C:1-1 <br /> ATTN : EfiIV IRONMENTAL HEALTH SAFETY <br /> ARTE'=I A, CA 0070,2—r,O' ,;_ <br />