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y SAN JO "IN COUNTY PUBLIC HEALTH VICES <br /> 304 E.WEBER AVIRD FLOOR • STOCKTON,CA 95202 • E(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 /> 1 <br /> ENVIRONMENTAL HEALTH <br /> STING SIT FOR UNCERGRMM STORAGE TAW. FACILITY <br /> Tid"FkTank Permit Annual Permit Fee Valid <br /> F!E <br /> Nober Record ID Number Capacity Contents Permit. Status Fromt To <br /> 2360 65 TA507184 009246 10,000 Re<a Unleaded 01 Active Permit 01! 1119'� 121v1/`_� <br /> ;'dot t,ijE: T IS071 � t�09247 5,nt#4# Prey# Unleaded 01 Act.i,:e Fere=• t.l!t#f�_� 1o!-:liSA <br /> PERMIT CONDITIONS: <br /> 1) The PERMIT TO OPERATE wi11 L�ec�Ate void if AW#JAL. PE914I T Fees and SERVICE Fees are not paid and/or the UST system(s) fails <br /> to remain in coirpliance with the PERMIT CONDITIONS. <br /> 2) The PEMIT TO OPERATE is granted to the TANK OWNER 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 County. <br /> 3) The TANK OPERATOR(S), if different from the tank Owner, shall Operate and monitor the (JST systems according to the WRITTEN <br /> OPERATING AGREEMENT rewired under Section 25293, Chapter 5.7, Division 20, California Health and Safety Code. <br /> 4) The TAW OWNER shall notify the Environmental Health Division Of any proposed change in operation or ownership of the UST <br /> system. <br /> S) !upon any change in equipment, design or operation of this facility, the PERMIT TO OPERATE will be reviewed by the <br /> Environmental Health Division. <br /> 6., A construction or removal permit. is required from the Environmental Health Division prior to any pem+oval or <br /> change of UST system equipment. <br /> 71 This PERMIT Tl# OPERATE shall not be considered permission to viOlate am existing lags, ordinanCes Or statutes Of other <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an UST FACILITY issued toi MCILRATFA, TAY & M R`=• <br /> 190 5" NA�3Y DR <br /> PERMITS TO OPERATE amid ANN JAL PERMIT FEE PAYMENTS ak-r e NOT TFTs NSF•ERiABLE; <br /> at-r-i_.r may tie c,r REVt*,:E: f c auc;e . <br /> THIS, F "LIST BE DI 's ICS SLY ON THE PREMISES <br /> REG)LATED FACILITY: .3AY ' 'W; MINTMARKET Account ID. 1300.3435 <br /> =:=02 WEST LN Facility ID; 003547 <br /> 'TOC:KTON, CA '�+S.�0 Permit Printed; ;#.tip 111 <br /> D1' ANG ADDRESS: �'1C:IL_�.ITN, _7A`y. <br />