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EN w-AONMENTAL HEALT,.„ POST ON PREMISE <br /> ISSUED: EXPIRES: PERMIT NO. <br /> _*.ep! "j, 1'.:'. SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. • PHONE 4666781 <br /> Permit issued to: P.O. BOX 2009 • STOCKTON, CA 95201 <br /> i EWti.t CORD <br /> 1045 S. CHEROKEE LANE <br /> LODI , CA 95240 OPERATING PERMIT FOR UNDERGROUND <br /> Status; 01 STORAGE TANK FACILITY <br /> DARYL. GEWEKE TANK OWNER a Wth; FORD <br /> P 0. BOX 1210 1045 ' CHEROKEE LANE <br /> LOD1 , CA 95240 LODI , CA 9S240 <br /> NUMBER OF TANKS `02 <br /> Tank. Description Product Capacity LDM Status <br /> ---- ----------- ----------- <br /> 0001 TANKS Motor Vehicle Fuel -500 7 01 <br /> 0006 TANKS Waste Cli1 i3OOU l 01 <br /> CONDITIONS <br /> 1. This permit expires in five (5}years and is renewable thereafter. Inspection fee will be billed annually. <br /> 2. 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 /> 3. 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 /> 4. Tank owner shall notify the Environmental Health Division of any proposed change in operator or ownership <br /> of tank system. <br /> 5. Upon a significant change in design or operation of this facility, permit will be reviewed by the <br /> Environmental Health Division. <br /> 6. This permit cannot be considered as permission to violate existing laws,ordinances, regulations or statutes <br /> of other governmental agencies. <br /> District Health Officer Director of Environmental Health <br /> THIS PERMIT MAY BE SUSPENDEtr'OR REVOKED FOR CAUSE <br />