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SAN JC <br /> &UIN COUNTY PUBLIC HEALT&ERVICES <br /> P O Box 388 • STocKToN, CA 95201-0388 • PH (209) 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 /> OffjiATING PERMIT FOR UNDERGROUNO STE A' TAW FACILITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> Number Record 10 Ca r acity Contents Permit Status From To <br /> Z:&) _ 001 _ TA114101 006529 12j000 1Jnleaded 01 Active Permit 01/0166 12/31/9 <br /> 2380 002 TA114102 006531 10,000 Diesel 01 Active Permit 01/01/96 12/31/%- <br /> 2380 <br /> 2/31/%380 004 TA114104 00a13 11Waste Oil 02 Conditional Permit 01101196 12/31/96 <br /> PERMIT COND I T I ONS <br /> T) The PERMIT TO OPERATE will become void if AWA PERMIT Pees and SERVICE Fees are not paid andlor the lfST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> The PERMIT TO OPERATE is granted to the TAN( OAR who accepts responsibility for operating and monitoring the UST system <br /> according to State underground storage tank laws and regulations as well as any conditions established by San Joaquin Canty. <br /> D The TANK OPERATOR(S), if different fry the tank oar, shall operate and monitor the UST system according to the WRITTEN <br /> OPERATINGG AGREEMENT rewired under Section 25293, Chapter 6.7, Division P., California Health and Safety Code. <br /> 4) The TAPS: CUR shall notify the Environmental health Division of any proposed change in operation or ownership of the UST <br /> system. <br /> 6) tKpon any change in equipment, design or operation of this facility, the PERMIT TO :OPERATE will -he reviewed by the <br /> Environmental Health Division. <br /> ?) A construction or removal permit is required from the Envirolm ental Health Division prior to any removal or <br /> change of UT 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 /> 3) A "Conditional Permit" may be revoked if corrections are riot completed by the date(s) specified on in5pecti.=n. <br /> PERMIT TO OPERATE an UST FACILITY issued to,. PUBLIC WORKS NAZELTON YARD <br /> PO BOX 1810 <br /> STOCKTi N, CA 95201 <br /> PERMITS TO OPERATE and ANNUAL. PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for c autse:. <br /> T IS FORM MST BE DISPLAYED C04SPICUOUSLY ON THE PREMISES <br /> RE6ULATED FACILITY, SJ CO PUBLIC: WORKS CORP 'YARD* Account 10; C}0t 3565 <br /> 1810 E HAZELTON AVE Facility ID! 003954 <br /> '=TOC:KTON, CA 9520S Permit Printed, 0S/16/96 <br /> 5. <br /> BILLING ADDRESS; <br /> SJ CO PUBLIC WORKS CORP YARD* <br /> ATTN i E G I LFORD <br /> PO BOX 1810 <br /> STOCKTON,, C:A 95205 <br />