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SAN JOUIN COUNTY PUBLIC HEALTH RVICES <br />304 E. WEBER <br />AVSHIRD FLOOR • STOCKTON, CA 95202 • ONE (209) 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 />OPERATING PERMIT FOR UMERGMM STORAGE TANK FAC I L I TY <br />PERMIT <br />Tank <br />Tank <br />Permit <br />Annual Permit <br />Fee Valid <br />P/E <br />Number <br />Record ID <br />mer <br />Capacity <br />Contents <br />Permit Status <br />From <br />To <br />2?60 <br />005 <br />TA178405 <br />005097 <br />10, 0M <br />Unleaded <br />02 Conditional Permit <br />011101199 <br />12/31/99 <br />2:}61 <br />006 <br />TY178406 <br />005098 <br />1410 V3 <br />Unleaded <br />02 Conditional Permit. <br />01/01/99 <br />12/31199 <br />2350 <br />007 <br />TA178407 <br />005099 <br />10,000 <br />Unleaded <br />02 Conditional Permit <br />01/01/99 <br />12/31/99- <br />2/31/99 <br />PERMIT CONDITIONS <br />1) The PERMIT TO OPERATE will become void if A11,NUAL PERMIT Fees and SERVICE Fees are net paid and/or tre UST system(s) fails <br />to remain in compliance with the PERMIT CNITIONS. <br />2) The PERMIT TO OPERATE is granted to the TANS. O4 WR who accepts responsibility for operating and Ioonitorirrg the UOST system <br />according to State underground storage tank laws and regulations as well as any conditions established by San Joaquin County. <br />31 The TAW OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br />OPERATING AGREEMENT required under Section 252913, Chapter 6.7, Division 20, California Health and Safety Code. <br />4) The TAN, OWER shall notify the Environmental Health Division of any proposed change in operation or ownership of the UST <br />system. <br />S) Leon 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 from the Environmental Health Division prior to any removal or <br />change of UST system equipment. <br />7) This PERMIT TO OPERATE shall not be considered permission to violate any existirr3 laws, ordinances or statutes of other <br />federal, state or local agencies. <br />8) A "Conditional Permit" may be rev, -*ed if corrections are not completed by the dates) specified on inspection. <br />PERMIT TO OPERATE an UST FACILITY issued to: CHEVRON PRODUCTS CO <br />PO BOX 6004 <br />SAN RAMON , CA 94 S 8.-I <br />PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br />and r(,ay be SUSPENDED or REVOKED for- cause. <br />THIS FORM MUST BE DISPLAYED CONSPICtk`kUtLY ON THE PREMISES <br />REGULATED FACILITY= CHEVRON STATION #1589* Account ID, 0003422 <br />6633 PACIFIC: AVE Facility ID: 0038U <br />-'TOCP--::TON . CA 95x07 Permit Printed., 05/04/99 <br />BILLING ADDRESS: CHEVRON PROD!!C: T °_, U'S'A <br />ATTN: PERMIT DE'=S <br />PO BOX 6004 <br />SAN RAi4 ON , CA 9458:3 <br />