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f SAN JOAQCOUNTY PUBLIC HEALTH SE CES <br /> 304 E.WEBER AVE.,TFLOOR • STOCKTON,CA 95202 PH 209)468-3420 <br /> KAREN FURST M.D., M.P.H.,HEALTH OFFICER <br /> DONNA HERAN,R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> C : PTI P lIT FOR tWERWOLM ST`RAGE TAW FACILITY <br /> Tarek Tare; Permit Annual Permit Fee `Valid <br /> P,`E Number Record ID Number Capacity Contents Permit Status From To <br /> 1360 004 TA173604 004758 10,000 unleaded 01 Active Permit 01J01E99 12!31!93 <br /> PERMIT CONDITIONS: <br /> 11 T;ie PERMIT TO OPERATE will become void if AKIAL PERMIT Fees and SERVICE Fees are ru=t pai= arid/or the ! ,T system(s) fails <br /> to remain in compliance with the PERMIT C& ITIONS. <br /> 21 The PERMIT TO OFEERAiE is granted to the TAW. OWNER who accepts responsibility for aerating and monitoring the UST system <br /> according to State urs rgr =urd storage tarp laws and regulati=ons as well as any conditions established try wan Joaquin County. <br /> 3) The TANS: OPERATOR(SI, if different from the tank owner, shall operate and monitor the UST system according to the t'RITTEN <br /> OPERATING: NREOMENT required under Section 2521K, Chapter 6.7, Division at, California Health and Safety Code. <br /> 4) The TALC OWNER shall notify the Environmental Health Division of any proposed change in operation or otinership of the t?3T <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 /> 6) A construction or removal permit is required from the Environmental Health Division prie=r to any removal or <br /> change of UST system equipment. <br /> 7) This PERMIT TO OPERATE shall not be co=nsidered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state ..r local agencies. <br /> # # <br /> PERMIT TO OPERATE an tiST FACILITY issued to ThACN C:�►MMf ih I TY MEMORIAL Hive:_=R' <br /> 1420 N TRACY BLVD <br /> TRACY, CA 96376 <br /> PERM I T`v T�4 OPERATE and AhINNAL. PERMIT FEE PAYMENT= are NOT TRANSFERABLE <br /> ayid may be SUSPENDED c-r REVOKED f r,-, cause . <br /> TINIS; F T BE BISW`LAl CGWPIC k-k1S1.Y ON THE PREHHSES <br /> RE91ATED FACILITY; SUT TER TRAC:Y COMMUNITY Hi��`P Acco=unt ID: 00(27387 <br /> 14'*:1.-) N TRACY BLVD Facility ID: 002S62 <br /> TRACY, C:A 95376 Permit Printed 04/26(33 <br /> FII+LIP ' ADDRESS; -=1 T TER TRACY "OMF'1I NI`I Y HO,-P <br /> 1427,0 N TRACY BLVD <br /> ThAC." , C'.Pi �5371F, <br />