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S&I1111114•a <br />Permit issued to: <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />CONDITIONS <br />E&I RON M ENTAL H EARH POST ON PREMISE <br />EXPIRES: PERMIT N0. <br />SAN JOAOUIN LOCAL HEALTH DISTRICT <br />1601 E. HAZELTON AVE. • PHONE 466-6781 <br />P.O. BOX 2009 • STOCKTON, CA 95201 <br />OPERATING PERMIT FOR UNDERGROUND <br />STORAGE TANK FACILITY <br />TANK OWNER <br />NUMBER OF TANKS <br />This permit expires in five (5) years and is renewable thereafter. Inspection fee will be billed annually. <br />This permit is granted to the tank owner who accepts responsibility for operating and monitoring the tank <br />system according to state underground storage tank laws and regulations and conditions set by the county. <br />Tank operators, if different than the owner, shall operate and monitor the tank system according to the <br />written operating agreement required under Section 25293, Chapter 6.7, Division 20, California Health and <br />Safety Code. <br />Tank owner shall notify the Environmental Health Division of any proposed change in operator or ownership <br />of tank system. <br />Upon a significant change in design or operation of this facility, permit will be reviewed by the <br />Environmental Health Division. <br />This permit cannot be considered as permission to violate existing laws, ordinances, regulations or statutes <br />of other governmental agencies. <br />District Health Officer <br />THIS PERMIT MAY BE SUSPENDEu OR REVOKED FOR CAUSE <br />4 erector of Environmental Health <br />