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SAN JOttkJIN COUNTY PUBLIC HEALTH J&RVICES <br /> P O Box 388 a STOCKTON, CA 95201-0388 • PHONE (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 /> OPEWING PERMIT FOR UIvDERGROtM STORASE TAMC FACILITY <br /> Taal: tar# Permit Annual Permit Fee Valid <br /> PIE Naber Record ID Number Wcity Contents Permit Status From To <br /> 2380 001 F41701 005268 12,000 Unleaded 01 Active Permit 01/41/97 12/ 1/97 <br /> 2-0 002 TA176402 005269 10,000 Diesel 02 Conditional Permit 01/01/97 12/31/97 <br /> 003 TA176403 005270 8,000 Unleaded 02 Conditional Permit 01/01/97 12/31/97 <br /> i <br /> PERMIT C:OND I T I ONS: I <br /> 1) The PERMIT TO OPERATE will become void if ANIS. PERMIT Fees and SERVICE Fees are not paid and/or the UST system(s) fails <br /> to remain in compliance with the PERMIT CONDITI(NS. <br /> The PERMIT TO OPERATE is granted to the TAN( OIANER who accepts responsibil4y for operating and monitoring the UST systelk <br /> according to State underground storm tank laws and regulations as well as any conditions established by San Joaquin Comty <br /> The TAW, OPERATOR(S), if different from the talk owner, shall operate and monitor the UST system according to the WRITT91 <br /> OPERATING AGREENNT required under Section 25293, Chapter 6.7, Division 20, California Health .and Safety Code. <br /> ). The TAW NO shall notify the Environmental Health Division of any proposed change in operation or ownership of the UST <br /> system. <br /> i 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 reW"val"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 /> feral, state or local agencies. <br /> 8) A "Conditional Permit" may be revoked if corrections are not completed by the date(s) specified on inspection. <br /> PERMIT TO CRATE an UST FACILITY issued to, ORLANDO, SAM 6 k MARILYN <br /> 9 72 S CAKW I LDE AVE <br /> STOCKTON, CA 9S216 <br /> PERMITS TO OPERATE and ANNUAL PERMIT EEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause . <br /> THIS MUST BE QIWLAYED CONSPICMUSLY ON TW PREMISES <br /> REGULATED FACILITY; ►RLANDQ`'s Account 10: 0002171 <br /> 4 RQ ;.. . Facility ID: 002160 <br /> SU :1'T ,' CA "9sl!S 1 Permit Printed., 03/28/97 <br /> BILLING ADDRESS ORLANDO'S <br /> ATTN; ORLANDOS DAIT&TACKLE/ORLANDO,'S <br /> S611 WATERLOO RD <br /> STOCKTON,. CA 9S21S <br />