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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> P O Box 388 • STocxTON, CA 95201-0385 • PnoNE (209) 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> OMATING PERMIT FOR `UNDERGRIC(WO STORAGE TAW, FACILITY <br /> Tank Ta-j* Permit Annual Permit Fee Valid <br /> P!E Number- Record ID Number Capac-t Contents Permit Status From To <br /> 23 — <br /> 00, 1 1 L ,C � Unleaded ? Active ern:: ? 12131/95 <br /> 2380 002 TA153302 004528 10,000 Unleaded 01 Active Permit 01101135 12!31155 <br /> PERMIT CONDITIONS; <br /> 1) The PERMIT TO OPERATE will become void if ANKIAL PERMIT Fees and SERVICE Fees are not Paid and/or tte iJST system(s) fails <br /> tc remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TANK Ofk"R who accepts responsibility for operating and monitoring the UST system <br /> according to State unde.Nroundstorage tank: laws and regulations as well as any conditions established by San 7oaquin County <br /> 3) The TANK OPERATOR(S), if different from the tark. owner. shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING AOREEMENT required under Section 25293, Chapter 6.1, Division 20, California Health and Safety Code. <br /> a) The TANK. OWWR shall notify the Environmental Health Division of any Proposed change in operation or ownership of the '1ST <br /> syste:§. <br /> 5) Upon any change in equipment, design or operation of this facility, the PERMIT TO OPERATE will be reviswed by the <br /> Environmental Health Division. <br /> 6) A construction or removal Permit is rewired from the Envirormental Health Division prior to any removal or <br /> change of UST system equipment. <br /> 7i This PERMIT TO OPERATE shall not be considered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> + <br /> PERMIT TO OPERATE an 15T FACILITY issued to: ROTO ROOTER <br /> 34=0 E CARPENTER <br /> STOCKTON, CA 9.5205 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause . <br /> + + # + + # <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> RERILATED FACILITY: ROTO ROOTER Account ID, 0003324 <br /> 3480 E CARPENTER Facility ID: 00374.5 <br /> STi�CKTON . CA 95205 Permit Printed; 03 11 !9S <br /> BILLING ADDRESS: <br /> ROTO RC TOTER <br /> PO BOX 1.-100 <br /> STOCKTON, CA 9521:3 <br />