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SAN J040M COUNTY PUBLIC HEALTEORVICES <br /> P O Box 388 • STOCKTON, CA 95201-0388 0 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 /> ENVMONMENTAL HEALTH <br /> WMTIMG PERMIT FOR LN)ER6ROUND STORAGE TANS FACILITY <br /> ;4. <br /> Tank Tart Permit Anil jal permit Fee Valid <br /> PIE b&r Record ID Neer Cocity 4 t NO Permit Statin From TO <br /> 2',80 00i TAi 5401 MM 12,000 Unle 01 Active Permit 01/017%; <br /> 2380 002 TA176402 0269 14,004 Diesel fit Conditional Permit 01/01/95 12/31/95 <br /> 2"20 003 TA175403 005270 81000 Unleaded 02 Conditional Permit 01/01/95 12/31/95 <br /> .PERMI T CONDITIONS: <br /> 1) The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and MICE Fees are not paid and/or the UST system(s) fails <br /> to remain in compliance with the PERMIT 03NDITiONS. <br /> ) The PNWjIT TO OPERATE is granted to tt TAC who accepts responsibility for gating 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 /> ' } The TAW.. OPERATOR(S}, if different from the tank owner, shall operate and monitor the UST System accordirrg to the WRITTEN <br /> 47PERATINS AUNT required under Section 25293, Chapter 6.7, Division 24, California Health and Safety Code. <br /> 4). The TANK 00 shall notify the Envirfeentai Health Division of any pressed change in operation or ownership of the UST <br /> systeer. <br /> S) Upon any change in equipment, design or operation: of this facility; the PERMIT TO OPERATE will be reviN.-ted by the <br /> fnvirt vital Health Division. <br /> 9 A cm- struction or removal permit`s 04ired from the Environmental Healthi Division prior to any removal or <br /> 0f UST system equipment. <br /> PERMIT TO OPERATE shall not be considered permission to violate any existing laws, ordinances or s��atuteS of other <br /> feral, state or local agencies. <br /> A-"Conditional Permit" may be revoked if corrections are not completed by the date(s) Specified on inspection. <br /> 1 PERr11T TO OPERATE an UST FACILITY issued to. ORLANDO, SAM Nr <br /> 5611 WATERLOO NSD <br /> STOCKTON, CA 9S205 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> THIS FOM HWT BE DISPLAYED CONSSPICtOUSLY ON THE PREMISES <br /> .EGULATED FACILITY. ORLANDO'S Accourpt ID. 0002171 <br /> 5611 WATERLOO RD Facility IN 00 160 <br /> STOCKTON, CA 95205 Permit Printed,, 0811"11/96 <br /> ILLIN►G ADDRESS-, <br /> ORLANDO'S <br /> ATTN. ORLANDOS NSA I T&TAC KLE/ORLANDO,S <br /> 5611 WATERLOO RD <br /> STOCKTON, CA 9S20S <br />