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SAN J IN COUNTY PUBLIC HEALTH <br /> �VICES <br /> 304 E.WEBER AIRD FLOOR STOCKTON,CA 95202 E(209)468-3420 <br /> KAREN FURST,M.D., M.EH., HEALTH OFFICER <br /> 6 <br /> DONNA HERAN,R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION .. <br /> ENVIRONMENTAL HEALTH <br /> i <br /> OPERATING PERMIT FOR UNDERGROUND STORAGE TANK FACILITY <br /> i <br /> Tank Tank Permit Annual Permit Fee Valid <br /> P/E Number Record ID Number Capacity Contents Permit Status From To <br /> 360 405 TA5R8150 (*9559 12,000 Reg Unleaded 01 Active Permit. 01/01/99 12/31/99 <br /> 2350 007 T*08151 0€9550 8,0C* Prem Unleaded 01 Active'fermit 01/01/99 12/31/99 <br /> 2350 C-65 TA508152 009551 41000 Diesel 01 Ache Permit. 011/01/99 12/31/99 <br /> PERMIT C:i€ND I T I ONS: -- <br /> l) Tte PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees an3ERVICE Fees are not paid and/or the LIST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> Li The PERMIT TO OPERATE is granted to the TAW OWNER who accepd responsibility for operating and monitoring the UST system <br /> according to State underground storage tank laws and regul�ions as well as any conditions established by San Joaquin County, <br /> 3`, The TANK OPERATORtS?, if different from the tank owner, small operate and monitor the UST system according to the WRITTEN <br /> OPERATING AGREEMENT required under Section 25293, Chaptir 5.7, Division 20, California Health and Safety Code. <br /> 4) The TANK OWNER shall notify the Environmental Health Division of any proposed change in aeration or ownership of the LIST <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 /> 5? A construction or removal permit is required fro4he Environmental Health Division prior to any removal or <br /> change of UST system equipment. / <br /> 7) This PERMIT TO OPERATE shall•not be considereipermission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencies. // - <br /> +1 / # +1 # + +1 <br /> PERMIT TO OPERATE art UST FACILITY issue' <br /> ssue to; FRED PAKZ.AD <br /> 1612 HAMMER LN <br /> CA 96210 <br /> r <br /> PERM I TSS TO OPERATE a'tncf ANNUAL PERMIT FEE PAYMENTS are NOT OT TRANSFERABLE <br /> al-id rf4y L-e 'SUSPENDED or. REVOKED for cause . <br /> THIS F0SOT BE DISPLAYED IC _Y ON TW PREMISS <br /> REGULATED FACILITY; PARKW+ODS 'BEACON Account ID; 0003159 <br /> lhsi' W HAMMED; LN Facility ID; 003611 <br /> TOCKT€=€N CA 9S207 Permit Printed; 04/'25/99 <br /> BILLING ADDRESS; PAKZAD, FRED <br /> ATTN ; FRED PA�:?AD <br /> 10-3764 W BYRON RD <br /> TRACY.. CA 95376 <br />