SAN J QUIN COUNTY PUBLIC HEALT ERVICES
<br /> t _ '� 304 E.WEBER AWHIRD FLOOR • STOCKTON,CA 95202 *ONE(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 /> OPERATING PERMIT FOR - GRL-K8 STJ*E TAW FACILITY
<br /> Tank Tank �'erfftit Annfua! Permit Fee Valid
<br /> RAE number Record IC Number rapailt•7 Contents Permit +i•rfs�: ! rGr� To
<br /> i_iFd} i7()1 T�►5t�7�t5 tiit'3 {-'� 5,llrh Ge'3 Ufllyd e� f.. Perm: 10122rj4 12f31l9;
<br /> 2:t60 s}t}7TA50?�t3 dirt 2_ 10.000, ± idqrade i+nlea�ed ?? ?�+�;:e Permit it li3/121 ; 12121192
<br /> _:_f,�j 103 T ): 0(),;-y,_ 4 E.s,i"ir:, deft Unleaded ,� F�ct.i:e Fe fg ; 1{,1' l9:, 1Jilr90
<br /> PERMIT CONDITIONS.:
<br /> 1.3 The PERMIT TO OPERATE still become me void It .A+.�MON PERMIT Feel• and SERV E: Fees are not paid and/or the �.1_;T syetem(s) fails
<br /> to remain in cofxpliance with the PERMIT CONOIITION .
<br /> The PER IT TO OPERATE is orant•e'1 to the iANW. {�t?�EEti who acfept•s responsitllllt•� for t'perat•in� aII=i f�fllt•�?riT?�] :��' i1 T SYStefI
<br /> according to ':tete underground storage tank law's and re-uAlonrs as well as any conditions established by `.an _raqu4n County.
<br /> 3;t The TANK OPERATOR(S), if different from the tank owner, shall operate and monitor the U-T System according to the WRITTEN
<br /> OPERATING AGREEMEIIT required ur, er Section 2553, Chapter 6.7, Division L(11, CaliforniaHealthand 'tiafety Code.
<br /> 4.) The TANK NINER y3'",a11 Tirat•ify th En it ntiienta' Health Mv;Sinn of any proposed change in operation or ownership of the W
<br /> system.
<br /> 53 t r:n any rhan,ae in e f�ipfffent, ,�esisfl of o0erat•ion of this facility, tate PER!IT TO OPERATE will he reviewed by the
<br /> Environmental wealth Division.
<br /> E+.3 A const•ructIcin or r•efffoval Permit is Peovuired fr•r?f4f the Environmental Health Division prior to any removal or
<br /> chan;L of !t'�T s'f'=teff! egiiip;ffent...
<br /> 7) This PERMIT TO A 7 AT- shall n, f. he ro si:'_fe,'ed pepmissioni t.;l vio"at•e any ex:istinn laws, ordinances of statutes of other
<br /> T
<br /> federal, state or 1.+cel a'=eftCles.
<br />. ?F: W 4Y
<br /> PERMIT TO OPERATE an UST FrCILI I y issued to; ;;3-;i_JTHi.._f=N � 3h,E,}_f�'�7 T 3_ft�;
<br /> w�"0}:;'._ T Di.]G MALL RD,i #i_;10
<br /> PL.EA'_;f NT3:"1, CA 4-S
<br /> r,r- , r a r rr tri rr T
<br /> f-E�,l f I , - 3_4 3.1=f.- A , _ %1'fd i f;f JAL 'E.RM FEE-: A T f 1r f S . _ .a, N fT t r t=t�l'�=F Fi!�� _E
<br /> %avid., r!'s--t ' t`..+f- ;t_IS fv,,IEE:': ,-:} REVCIj
<br /> r-.,.3_..f 3 ! 3' r•aSt ise .
<br /> 'THIS Fri MLJST BE DISPLAYED CO''I C SLY ON THE PREM1'3ES
<br /> EEf3:G ATED FACILITY: ! E:-EVE-1 .. F �;Ti_ii�.`1. _t%, Ai rf:flf!• iD; tll �7
<br /> G?=`•'A TL_IN, ti+ ' Farllif.Y I! 1(377_:
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<br /> n., �f , r, ? ?!,+ parimit. Printed;
<br /> E.!ILLI t� frt� REa:.. E»L_i�.=;+E IN! -; ! I_I :F '�_ v.
<br /> r. E Til : A:L_F `.ED F'Et '
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