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SAN JUIN COUNTY PUBLIC HEALTDERVICES <br /> P O Box 3g STOCKTON, CA 95201-0388 • PH (209) 468-3420 <br /> ERNEST FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> OPERATINS PERMIT FOR UNDE Wttk-WO STMOM "FANS. FACILITY <br /> Tank Tank Permit Annual Permit Fee 'Valid <br /> PfE Number Record i0 Number Capacity Contents Permit Status From To <br /> 2,180 001 TA190101 00SO49 12,000 Unleaded 01 Active Permit 01101f9S 12/31/W <br /> — <br /> PERMIT CONDITIONS: <br /> 13 The PERMIT TO OPERATE will become void if. ANMA1. PERMIT Fees and SERVILE Fees are not paid and/or the UST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to tte TANK OBER who accepts responsibility for operating and monit-crims the UST system <br /> according to State underground storage tank laws and regulations as well as any conditions Established by San Joaquin County. <br /> 3) The TANK OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br /> TERATING AGREEMENT required under Section 25233, Chapter 5.7, Division 20, California Health and Safety Code. <br /> 4) The TAW OWNER shall notify the Environmental Health Division of ani:' ;proposed change in operation or ownership of tt* UST <br /> system. <br /> 5) Upon any change in equipment, design or operation of 411-Ys tacility, cafe PERMIT TO OPERATE will be reviewed by the <br /> Environmental Health Division. <br /> G) A construction or removal permit is requrad.. from--the Environmental Health Division prior to any reak-,val or a <br /> change of UST system equipment. . # <br /> 7) This PERMIT TO OPERATE shall not be considered permission to violate any existing laws, ordinances or statutes of other Y <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an UST FACILITY issued to, CALIFORNIA HIGHWAY PATROL <br /> PO BOX 898 <br /> SACRAMENTO, CA 95804 <br /> PERMIT:: TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> THIS FORM MIST BE DISPLAYED SPLAYED Col '`I Cly Y ON THE PREM I SES <br /> REUATED FACILITY; CALIFORNIA HIGHWAY PATROL #265 Account ID. 000:341,3 <br /> 33:30 .N AD ART RD Facility IN 00382S <br /> STOCKT13N, CA 95205 Permit Printed: 08/11/96 <br /> BILLING ADDRESS; _ _ <br /> CALIFORNIA HIGHWAY PATROL 02,65 <br /> ATTN: CALIFORNIA HIGHWAY PATROL, <br /> PO BOX 9s1;898 <br /> SACRAMENTO, CA 94298-0001 <br />