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SAN JOAQCOUNTY PUBLIC HEALTH SE CES <br /> 304 E.WEBER AVE.,T�FLOOR • STOCKTON,CA 95202 • PHo 09)468-3420 <br /> KAREN FURST,M.D.,M.P.H.,HEALTH OFFICER <br /> DONNA RERAN,R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> MTI SIT IR LR LX STGW3E= TRS FACILITY <br /> Tars Tank Permit Annual Permit Fee Valid <br /> P/E Number Record lD Number Capacity Contents Permit Statin From To <br /> 2330 Citi TA249401 004562 12,000 Unleaded 01 Active Permit 01/01199 12/31199 <br /> PERMIT CONDITIiiNS; <br /> 1) The PERMIT TO OPERATE will become void if ANKUAL PERMIT Fees and NICE Fees are not paid and/or the L.1 system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2:: The PERMIT TO OPERATE is granted to the TANK 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 County. <br /> 3) The TANK OPERATOR(S), if different. from the tank owner, shall operate and monitor the LIST system according to the WRITTEN <br /> OPERATING AGREEMENT required under Section 252933, Chapter 6.7, Division P2., California Health and Safety Code. <br /> 4) The TANK OWNER shall notify the Environmental Health division of any proposed change in operation or ownership of the LrST <br /> SYStei. <br /> S) L;Prjrt any change in equipment., design or operation of this facility, the PERMIT TO OPERATE will he 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 UST system equipgent•. <br /> ''i This PERMIT TO OPERATE shall not be considered permission to violate any exisftirg laws, ;ordinances or statutes of other <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an UST FACILITY issued to; KAISER PER 1ANENTE <br /> ?` 'A'E'=T LANE <br /> STX-:K T C iN, CA 95210 <br /> Pic FOM I T'-; TO i s PEF ATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> avid Iiizi r L,e SUSPENDED r,r REVOKED KED f c,r cause . <br /> THI.3 FL-W HMT BE DI15P ICM ` ON THE PREIIISES <br /> REGULATED FACILITY! �::HI':;ER PERMANEN T E Account ID: 0004672 <br /> 7-37_; 'WJE ;T LN Facility IDS 002602 <br /> TOC-1-:70N, CA 9S210 Permit Print-e7 04/:16/99 <br /> BILLI!vG ADR.ES-, <br /> ::r,I,::,F~ F'EE<MAh4ENTE <br /> -;TC fCK T i_'N, CA 9621�.,} <br />