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SAN JOA - 'JIN COUNTY PUBLIC HEALTH , IVICFS <br /> P O Box 388 - STOCKTON, CA 95201-0388 • PHoN;,----T209) 468-3420 <br /> ERNEST M. Fil1IMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> jT.' y <br /> DONNA HERB fi., L.E.H..S.,' DIRECTORR„ ENVIRONMENTALHEALTH DIVJgRN ” <br /> E AMQNCTN1AL rAL H <br /> Q f+ r11 f1T FM l STl1PAGE TAW FACILITY <br /> Tank Tank: Permit Annual Permit Fee Valid <br /> P/E Number Record IDt�anbe, Capacity Contents Permit Status From To <br /> 23&0 001 TA196901 NEE 10,000 Unleaded 01 Active Permit 01/01/97 12/31/97 <br /> 7330 00? TA196901 NS127 10,000 Diesel Oi Active Permit 01/01/97 12/31/97 <br /> 2380 003 TA196903 005128 10100 Diesel 01 Active Permit 01101197 12/31/97 <br /> 2; 0 004 TA196904 005129 sca Waste Oii 01 Active Permit 01/01/97 12/31/97 <br /> PE IT CONDITION <br /> _) PERMIT TO OPERATE will become void if WA PERMIT Fees and SERVICE Fees are not Paid and/or the UST system(s) fails <br /> twemain in compliance with the PERMIT CONDITION'S. <br /> 2i The PERMIT TO OPERATE is granted to the TANK OWNER 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 /> D The TANK nPERATOR(S), if differentfrom the tank owner, shall operate and monitor the UST system according to the WRI TEN <br /> OPERATING AGREEMENT required under Section 25293, Chapter 6.7, Division 20, California health and Safety Code- <br /> 4) The TAC O- ER shall notify the Environmental Health Division of any proposed change in operation or ownership of the UsT <br /> SWIM. <br /> S) 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 permit is required from the Envirorental HealV,� Division prior to any revival or <br /> cfaa9e of UST system equipment. <br /> 7) This PERt!IT TO OPERATE shall 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; LODI l)NIFIED SCHOOL DI:3T <br /> 815 W Li uC'KEFi ARD <br /> LODI , CA 9S240 <br /> PERMIT'S TO OPERATE and ANNUAL PERMIT FEE PAYMENTS, are NOT TRANSFERABLE <br /> and may t-e SUSPENDED or REVOKED fo-r cause . <br /> THIS FOW "UST W- DISPLAYED C014SPICaKKELY ON THE PROMISES <br /> REGULATED FACILITY: LODI USD—Ti-{F;hJSP_URAA T l U1-41 Account ID; 0%13430 <br /> 820 8 CLUFF AVE Facility ID: 003842 <br /> Permit Printed; 031:,)8/97 <br /> BILLING ADDRESS; LODI !UNIFIED SCHOOL DIST <br /> _i ATTN; HEALTH PERMITS <br /> 1305 E VINE <br /> LODI ; CA S451A.6 <br />