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2360 <br />2360 <br />1 <br />n SAN JOAIIJIN COUNTY PUBLIC HEALTH ORVICES <br />P O Box 388 + SrocKToN, CA 95201-0358 • Pao 09) 468-3420 <br />ERNEST M. FUIIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br />DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br />ENVIRONMENTAL HEALTH <br />OPERATING PERMIT FOR UNDERGROUND STORAGE TANK FACILITY <br />Tank Tank Permit <br />004 TA,SO4844 007196 2,632 Unleaded <br />005 TAS04845 007197 6,768 Unleaded <br />006 TA504346 007198 2,632 Diesel <br />01 Active Permit <br />01 Active Permit <br />Annual Permit Fee 'Valid <br />01/01/96 12/31/96 <br />01/01/96 12/31/96 <br />PERMIT CONDITIONS: <br />1) Tte PERMIT TO OPERATE will become void if ANA AL PERMIT Fees and SERVICE Fees are not paid and/or the Ll T system(s) fails <br />to remain in compliance with the PERMIT CONDITIONS. <br />2) The PERMIT TO OPERATE is granted to the TANK: (OR 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 Canty. <br />3) The TANK 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 TAW OWNER shall notify 'tie Environmental Health Division of any proposed change in operation or ownership of the Leat11: <br />system. <br />5) n any change in equipment, design or operation of this facility, the PERMIT TO OPERATE will be reviewed by the <br />*in <br />Environmental Health Division. <br />6) A construction or removal permit is required from, the Environmental Health Division prior to any removal or <br />change of LIST system ecuipment. <br />7) This PERMIT TO OPERATE stall not be considered permission to violate any existing laws, ordinances or statutes of other <br />federal, state or local agencies. <br />PERMIT TO OPERATE an UST FACILITY issued to: MADS -EN, ROBERT & CAROL_ <br />2:39 = STi IC KTON <br />RIPON CA 95:.:6G. <br />PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENT'S <br />and may t}♦ -e 'SUSPENDED or REVOKED for <br />THISS Feil 49 ST BE DISPLAYED CONSPIC)OUBUY <br />+ + # + + + + <br />RE61P_ATED FACILITY: PMADSEN' S SUNRISE DAIRY <br />239 S STOC:KTON ST <br />RIPON, CA 95366 <br />BILLING ADDRESS: <br />MADSEN'S SUNRISE DAIRY <br />ATTN: MADSEN, ROBERT <br />39 S STOC:KTON <br />RIPON, CA 95366 <br />k <br />are NOT TRANSFERABLE <br />cause. <br />ON THE PREHISES <br />Account 10: 0000719 <br />Facility ID: 000720 <br />Permit Printed, 05/02/96 <br />