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SAN JOAjW[N COUNTY PUBLIC HEALTH MVICES <br /> lk P O Box 388 • STOCKTON, CA 95201-0388 • PHor ) 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 /> �aP D io ST 7T FACILITY <br /> Tank: Tank Permit Anneal Permit Fee Valid <br /> P/E fkaber Record ID Number Capacity Contents Permit Status From To <br /> 001 TA114101 O0fi229 12,E Unleaded 01 Active Permit 01/01/95 12151/95 <br /> M1 3 W2 TA114102 0%551 10,000 Unleaded 01 Active Permit 01101/95 .12/31/95 <br /> PERMIT CONDITIONS: <br /> 1) 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 /> to remain in compliance with. the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted .to the TAPS: OWNER who accepts responsibility for operating and monitoring the UST system <br /> according to State underground storage tank laws and regulations as we'll as any conditions established by San Joaquin County. <br /> 3) The TAW.: 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 25295, Chapter 6.7, Division 20, California Health and Safety Cade. <br /> k The TQC OWNER shall notify the Environmental Health: Division of any proposed change in operation or ownership of the tRST <br /> system. <br /> Upon any change in equipment, design or aeration of this facility, the PERMIT TO [OPERATE will be reviewed by the <br /> Envirom-ental Health Division. <br /> A construction or removal permit is required from the Environmental Iealth Division prior to any removal or <br /> change of UST system equipment. <br /> 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 /> PERMIT TO OPERATE an UST FACILITY issued to: PUBLIC- WORKS HA ELTON YARD <br /> PO BOX 1810 <br /> TOC:KTON, CA 985* 11 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REWCtiK D for cause. <br /> THIS FORM MUST 8E DISPLAYED C ONSPIC , LY CIS THE PREMISES <br /> REGULATED FACILITY: PUBLIC WORKS CORP YARD Account IO; 000=s6s <br /> 1810 E HAZELTON Facility ID. 003954 <br /> TOC KTON, C.A, 95205 Permit Printed; 121'05/9-S <br /> PILLI?� Ai�R£SS� <br /> PUBLIC WORKS CORP YARD <br /> A,TTN: E GILFOFAD <br /> PO BOX 1810 <br /> S TOC KTON, + A -4520S Ir <br />