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1 <br /> SAN JOt' UIN COUNTY PUBLIC HEALTH --,,RVICES <br /> P O Box 388`w SeocicroN, CA 95201-0388 • Pno1vt,�(209) 465-3420 <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 /> OPERATING PEk;MZT FOR V 3 ERGRAMD STORAGE IAW FACILITY <br /> Tank Tardy: Permit Annual Permit Fee Vain! <br /> PIE Number_ Record ID timber Capacity Contents Permit Status From To <br /> 2380 001 %96901 005126 10,000 Unleaded 01 Active Permit Oi/01/96 12/31/% <br /> 2430 002 TA 1%902 005127 10,000 Die-el 01 Active Permit. 01/01/96 12/31/96 <br /> 2:30 003 TA196903 005128 10,000 Diesel 01 Active Permit 01/01/96 12/31/96 <br /> 2380 004 TA196904 00S129 S50 01 Active Permit. MIMI% 12/31/96 <br /> PERMIT CONDITIONS : <br /> D The PERMIT TO OPERATE will become void if ANW AL PERMIT Fees and .SERVTCE Fees are not paid and/or the UST system(E) fails <br /> to remain in compliance with the PERMIT MVITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TNtW OWNER who accepts responsibility for operating and monitoring the UST =system <br /> accordirm to State underground storage tank laws and regulations as well as any Conditions established by San Joaquin County. <br /> 3) Thee TANK OPERATOR(S), if different from the tart( 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 /> 4i 1�e TANK UPER shall notify the Environ-ntal Health Division of any proposed change in operation or rvmrship of the UST <br /> systep <br /> S) Vµ_n 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 fT01a the Environmental Health Division prior to any removal or <br /> change of UST system equipment. <br /> 7) This PERMIT TO OPERATE shall riot be considered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> IF # ?R <br /> PERMIT TO OPERATE an UST FACILITY issued to: LODI UNIFIED SCHOOL DIST <br /> 315 W L OCKEF+iRD <br /> LODI , CA 95240 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENT'S are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause . <br /> TRIS: FORM AST BE DISPLAYED CONSP'IC( Y ON THE PREMISES <br /> REaATED FACILITY: LODI USD–TRANSPORATION# Account IN 00034:30 <br /> 420 S CLUFF AVE Facility ID: 003842 <br /> LODI , CA 9524.0 <br /> Permit Printed; 0SJ02iyr. <br /> BILLING ADDRESS: <br /> LODI UNIFIED SCHOOL DIST <br /> ATTN : HEALTH PERMITS <br /> 1305 E VINE <br /> LODI ;; CSA 95240 <br />/\ Z.. 1�j <br />