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SAN JOAWRD <br /> IN COUNTY PUBLIC HEALTH S�VICES <br /> 304 E.WEBER AVE. FLOOR STOCKTON,CA 95202 P E(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 /> OPMATING PERMIT F STORE TAW FACILITY <br /> Tank Tank: permit Annual Permit Fee Valid <br /> P/E Number Record ID Number Capacity Contents Permit Status From To <br /> 23U, ik314 TA173604 0047 10,000 Unleaded 01 Active Permit 01i01fk' 12/31/98 <br /> PERMIT CONDITIONS: <br /> 1) The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and 'SERVICE Fees are not paid and/or the US-T 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 we'll as any conditions established by San Joaquin Cannt•y. <br /> 3) The TANK: OPERATOR(S), if different from the tank: owner, shall operate and monitor the DIST system according to the �fRiTTEN <br /> OPERATING AGREEMENT required under Section 25293, Chapter 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 operation or ownership of the UST <br /> system. <br /> S) Upon any change in equipment., design or operation of this facility, the PERMIT TO OPERATE will be reviewed by the- <br /> Environmental <br /> heEnvironmental Health Division. <br /> 5) A construction or revival permit is rewired from the Environmental Health Division prior to any removal or <br /> change of UST system equi;.Nent•. <br /> 71 This PERMIT TO L 'PExA shall no! considered permission to violate any epist•itNg laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an UST FACILITY issued to: TRACY COMMUNITY ME:i"F I ALr HO,-P <br /> 1420 N TRACY BLVD <br /> TRACY, CA 9S376 <br /> PERMITS TO OPERATE and ANNUAL. PERMIT FEE PAYtMENT'_= are NOT TRANSFERABLE <br /> and rfiay be SUSPENDED ca, REVOKED fo—P cause . <br /> TINIS FLEM tWT BE DISPLAYED C&4SPICUCCISLY ON THE AHI SE113 <br /> REGULATED FACILITY: '.JTTER TRACY COMMUNITY HO,:-;F' Accc+unt ID : 01,102387 <br /> 1420 N TRACY BLVD Facility iD; 002S62 <br /> TRACY , CA 95376 <br /> ; Permit Printed: v3/O21'3� <br /> BILLI;Nj ADDRESS; ;i T T ER TRH A .`i COMMUNITY HO,:-:"P <br /> 1420 42 N TRACY_BLVD <br /> TRAC"T- a CP, a S�e7Pa <br />