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SAN JOASIN COUNTY PUBLIC HEALTH WVICES <br />t a P O Box 388 SrocKTON, CA 95201-0388 • PHONE 09) 468-3420 <br />ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br />DONNA HERRN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br />ENVIRONMENTAL HEALTH <br />OPERATING PERMIT FOR IJNDERGROL)NO STORAGE TANK: FACILITY <br />Tank Tank Permit <br />PIE Number Record ID Number <br />23N 005 TA504846 007197 6,768 '}pleaded <br />2360 0% TA5O4B46 001198 2,632 Diesel <br />01 Active Permit <br />Oi Active Permit <br />Annual Permit Fee Valid <br />01101i37 12/31/97 <br />01/01/97 12/31/97 <br />PERMIT CONDITION'_: <br />1) The PERMIT TO OPERATE will become void if ANWAL PERMIT Fees and SERVICE Fees are not paid and/or the lrii system(si fails <br />to remain in compliance with the PERMIT CONDITIONS. <br />2i The PERMIT TO OPERATE is granted to the TANK NNER who accepts responsibility for operating and monitoring 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 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 25293, Chapter 6.7, Division 20, California Health and Safety Code. <br />4) The TANK Q41NER shall notify the Environmental Health Division of any proposed change ill operation or ownership of the UST <br />system. <br />Upon any change in equipment, design or operation of this facility, the PERMIT TO OPERATE will be reviewed by the <br />Environmental Health Division. <br />6) A construction, or removal permii 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 he considered Permission to violate any existing laws, ordinances or statutes of other <br />federal, state or local agencies. <br />PERMIT TO OPERATE an INT FACILITY issued to! MADSEN, ROBERT & CAROL <br />239 S STOCI:JON <br />RIPON, CA 953E -E. <br />PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENT'S are NOT TRAN=SFERABLE <br />and Tnay be :SUSF'ENDED or REVOKED f c r cause. <br />THIS IFL*M "LYST BE I}T KED CL*W10JOUS+LY LN TI -€E PRO'SES <br />REGULATED FACILITY: MAD :EN'S <br />'='JNR'ISE DAIRY <br />Account. ID; 00110719 <br />."239 <br />S 'STOCKTON ST <br />Facility ID, 004720 <br />IPO' , <br />CA 9":?GS <br />Permit Printe 03i2rs/97 <br />BILLING ADDRESS! i1AD'EEN'S <br />Sl1NRISE DAIRV <br />ATTN; MAD=,EN, <br />ROBERT <br />2319 <br />_ 'STOC:K:TON <br />RIPON, <br />CA 9S366 <br />