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SAN JOSUIN COUNTY PUBLIC HEALTRVICES <br /> P O Box 388 STOCKTON, CA 95201-0388 • PRO (209) 468-3420 <br /> HO <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 . r-,, Record ID Number Capac i ty Contents Permit Status From To <br /> 2 ER0 041 TA167tiDf OO&CA3 1,7t Unleaded DI Ac ive Permit 6,1761PT5 727F> <br /> f " <br /> PERMIT CONDITIONS: <br /> 1) The PERMIT TO IRATE will become void if AWA PERMIT Fees and SERVICE Fees are not paid and;or the LAST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TAN( 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 Coumty. <br /> 3) The TAW OPERATOR(S), if different from the tank owner, shall gate and monitor the LIST system according to the WITTEN <br /> OPERATING AGREEMENT rmfixed.under Section 25293, Chapter 6.7, Division 2t1, California Dalt`: and Safety Code. <br /> 4) The T� R shall notify the Environmental Health Division of any proposed change in operation or ownership of the LIST <br /> system. <br /> 5) Upon any change in equipment, design or operation of this facility, the jPERMIT TO OPERR`E-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 removal or <br /> change of LOST system equipment. <br /> 7) This PERMIT TO O'ERATE 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 LST FACILITY issued to PACIFIC BELL <br /> 646 WATT AVE STE .-4 <br /> SACRAMENTO, CA 9685 1 <br /> PERMITS TO OPERATE and ANNUAL. PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED Cr REVOKED for cause. <br /> THIS MUST BE OISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> REGULATED FACILITY: PACIFIC SELL. Account D: 0003S68 <br /> 10 E 12TH Facility ID: 003956 <br /> TRACY, CA 95376 Permit Printed: 08/11/95 <br /> B1LLI CESS. <br /> PACIFIC: SELL <br /> ATTN: PERMIT DESK <br /> PO BOX 150=:,8 :646 WATT AVE #4 <br /> SACRAMENTO, CA 9S8S 1 r <br /> � _ Y <br />