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SAN JOASIN COUNTY PUBLIC HEALTHVICES <br /> P O Box 388 Mr STocKTox, CA 95201-0388 • Pno 09) 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 /> OPOMTING PERMIT FUR to Fc" tE�"1`GRAGE TAW FACILITY <br /> Tani: Tank Permit. Annual Permit Fee Valid <br /> PIE NL ber Record 10 -- Number Capacity Contents Permit Status From To <br /> 2330 00i TA249401 004S612 12,000 Unleaded 01 Active Permit 01101196 '12/31/96 <br /> PERMIT CONDITIONSi <br /> 1) The PERMIT TO r-E'rtA E will become void if ANNUAL PERMIT Few �ai�i �n��iICE Fees are riot Paid and/or the (65 system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TANK OWNERwho <br /> - is responsibility for cQerating and monitoring the UST system <br /> according to :tats: undergrcoind storage tank laws and regulations as well as any conditions established by San Joaquin County. <br /> 3) The TANK WC ATOR(S), if different from the tank owner, �*l 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 TANK OWNER shall notify the Environmental Healtt, Division of any propc�d change in operation or ownership of the U�ff <br /> system. <br /> S) Upon any change iIr equipment, design or operation of this facility, the PERMIT TO OPERATE will be reviewed by the <br /> Enviromental Health division. <br /> 6) A construction or removal permit is required from the Environmental health Division prior to any removal or <br /> change of UST system equlpmer,t. <br /> 7) This PERMIT TO OPERATE shall not to considered permission to violate any existirig laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an UST FACILITY issued to., KAISER PERMANIENTE <br /> 7373 3 WEST LANE <br /> STOCKT}MEN, CA 9S2, ��f <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOTTRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> THIS FIRM MUST BE DISPLAYED CONSPICU%1SLY ON Tim ISE <br /> REGULATED FACILITY, KAISER PER MANENTE Account ID. 0004672 <br /> 72 <br /> 7373 WEST LANE Facility ID; 002E--0:2 <br /> STOCKITON.. CA 99210 Permit Printed: 06102196 <br /> BILLING ADDRESS: <br /> KAISER PERMANE:NTE <br /> ATTN i KAISER PERMANENTE <br /> 1:300 TOMMYDON <br /> STOCKTON. CA 95210 <br />