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SAN JUIN COUNTY PUBLIC HEALTIWRVICES <br /> P O Box 388 • STocHTON, 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 /> OPERATING PERMIT FOR UNDERGROUND STORAGE TANK FACILITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> P/E Nor Record IU Shaer Capacity Contents Permit Status From To <br /> 2`,- 001 TA176401 005268 12,004 Unleaded 41 Active Permit 01/01/96 12/31/96 <br /> 2390 002 TA176402 005269 10,000 Diesel 02 Conditional Permit 01/01/96 12/31/96 <br /> 2380 003 TA176403 005270 8,000 Unleaded', 02 Conditional Permit 41/01/96 12/31/96 <br /> PERMIT CONDITIONS: <br /> 1) The PENT TO OPERATE will became void if ANNUAL PERMIT Fees and SERVICE Fees are not paid and/or the LIST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. j <br /> 2) The PERMIT TO OPERATE is granted to the TAW 'OKR who accepts responsibility for operating and monitoring the UST system <br /> according to State undetground 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 UST system according to the WITTE+E i <br /> OPERATING AGREEMENT required under Section 25293, Chapter 6.7, Division 20, California Health and Safety Code. <br /> 4) The TSN( 0 shall ratify the Environmental Health Division of any proposed change in operation or ownership of the UST <br /> system. <br /> 5) 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 constru€tion or removal permit is required from the Environmental Health Division prior to any removal 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 /> S) A "Conditional Permit" may be revoked if corrections are not completed by the date(s) specified on inspection. <br /> PERMIT TO OPERATE an l5,-T FACILITY issued to, ORLANDO, SAM B <br /> ;611 WATERLOO RD <br /> STOCKTON, CA 9620S <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> T IS T BE D19"YED C94SPICUXMY ON THE PREMISES <br /> REGULATED FACILITY: ORLANDO'S Account ID; 00 02171 <br /> 5611 WATERLOO RD Facility ID: 002160 <br /> : TOC*`.TON, CA 95215 Permit Printed; 05/02/96 <br /> BILLING ADDRESS- <br /> ORLANDO'S <br /> ATTN: ORLANDOS BAIThTACKLE/ORLANDO,' <br /> 6611 WATERLOO RD <br /> ,S TOCKTON, CA 9521 S <br />