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SAN J04MJIN COUNTY PUBLIC HEALTHRVICES <br /> P O Box 388 W STOCKTON, CA 95201-0388 • PHo (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 /> OPERATING PERMIT FOR t ERCP l3 STORE TAW FACILITY <br /> Tank Tank Permit Annul Permit Fee Valid <br /> P/E Number Record 10 Number Capacity Contents Permit Status From To <br /> 2380 001 TA134 01 003,113 12,000 Unleaded 01 Active Permit 01/01/95 12/31/95 <br /> 2380 002 TA134602 003714 12,000 Unleaded 01 Active Permit 011/01/9-5 12/31/95 <br /> 7380 1103 TA134603 003715 12, 3 Unleaded of Active Permit 01/01/95 12/31/95 <br /> PERMIT CONDITIONS <br /> 1) The PERMIT TO OPERATE will become void if AMA PERMIT Fees and SERVICE Fees are riot paid andior the V.-,T system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TAW 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 TAMC 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 6.7, division, 20, California Health and Safety Code. <br /> 4) The TANS OVER shall notify the Environmental Health division of any proposed change in operation or ownership of the US <br /> system. <br /> 5) Upon any change in equipment, design or operations 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 tJ* Environmental Health Division prior to any recoval or <br /> change of UST system equipment. <br /> 7) 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; t ILTRAMAR INC <br /> 525 W T14IRD ST <br /> HANFORD, CA 93230 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED ��r REVOKED for cause. <br /> TRIS FOFM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES l <br /> REGULATEd FACILITY: BEACON STATION #1613 Account. IN of"? }:31:=;1 <br /> 401 KETTLEMAN LN Facility IO, 0:=.603 <br /> LODI , CA 95240 Permit Printed; 08/11/135 <br /> BILLING ADDRESS: <br /> ULTRAMAR INC- <br /> ATTN: SANDY EDWARDS <br /> PCO BOX 466 <br /> HANF%ORD, CA 932:1--!0 <br /> _. . <br />