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SAN JOAUIN COUNTY PUBLIC HEALRVICES <br /> 4 ,a,, P O Box 388MW STOCKTON, CA 95201-0388 0 PHo (209) 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> OPERATING PER"IT FUR UMERGRMM STORAGE TAW FACILITY <br /> Tank Tank Permit Annul Permit Fee 'Valid <br /> P/E Number Record ID fiber C acity Contents Permit Status From To <br /> 21� 001 TA190101 005049 121000 Unleaded 01 Active Perait 01'01/%- 12/31/96 <br /> PERMIT CONDITIONS <br /> 1) The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SERVICE Fees are <a pais aT?d/or ttq, UST system(s) fails <br /> to remon in c liance with the PERMIT CONDITIONS. <br /> 2) The PERMIT O OPERATE is granted to the TANK [SER who accepts responsibility for. cope;atil;q and monitoring the UST system <br /> according to State underground storage tank laws and regulations as well as any e_tablished by San Joaquin County. <br /> 3) The TAW OPERATOR(S), if different from the tank owner, shall operate and aonitc '�:_ sIstea <br /> ' ccording to the WRITTEN <br /> OPERATING A(REE required under Section 25293, Chapter 6.7, Division 20, CalifCalifc�*f_.; ;eaIth and Safety Cade. <br /> 4) The TALC NO shall notify the ETivironmental Health Division of any proposed charge r, ope ation or ownership of #te UST <br /> system, <br /> 5) Upon any chance in equipment, design or operation of this facility, the PERMIT 1*1�' ;-' 't-q.P7 wi?1 to reviewed by the <br /> Envirothmental Health Division. <br /> 5) A construction or removal permit is required from the Environmental Health Divisicr, :-,rj4; .-. any removal or <br /> changeiof UST system equipment. <br /> 7) This PtRMIT TO OPERATE shall not be considered permission to violate any existing saws; o----'-;mantes or statutes of other <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an UST FACILITY issued to; CALIFORNIA HIGHWAY P''A T RO . <br /> PO COX 898 <br /> SACRAMENTO, CA EIS:;t. 4 <br /> PERMIT'S TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUS FENDED or REVOKED for c aus;e. <br /> THIS FOM 114 ST BE DISPLAYED CONSPICUMSLY ON THE MISE <br /> REGULATED FACILITY,, CALIFORNIA HIGHWAY PATROL #265 Ac count• ID; 0003413 <br /> :3330 N AD ART RD Facility ID; 003825 <br /> tiTOCKTON! CA 9S20S Permit Printed,, 06/02/96 <br /> BILLING ADDRESS <br /> CALIFORNIA HIGHWAY PATROL #265 <br /> ATTN; CALIFORNIA HIGHWAY PATROL <br /> PO BOX 942898 <br /> SACRAMENTO,, C:A 94298-0001 <br />