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SAN JOh 'JIN COUNTY PUBLIC HEALTH 'RVICES <br /> P O Box 388 Y STocrzroN, CA 95201-0358 • PaONE-(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 /> -PER4 - TINGPER"IT FGR 144DERGROLM STWZW TAW FACILITY <br /> Tank Tank- Permit. Annual Permit Fee Valid <br /> P/E Numt�r Record ID Number Ca acit Contents Farmit Status Ftom Ta <br /> 380 001 TA1%�1 5128 10, Unleaded �, } 02 Condi lona ermit 011 11 5 12 i/95 <br /> 280 002 TA1969U2 U05127 10,U00 Untteded ^^ U2 lunaiitional Permit Oi01(95 12J31/'3S. <br /> 2'80 003 TA1�903 005128 iO,VDU t�leMhd 6+p� 02 Canditionai Fermin OiJO1195 12131!95 <br /> 380 OOd Tp19590d 005129 55p ;1 Active Fermii U1/U1i95 12/31/95 <br /> PERMIT CONDITIONS: <br /> 1; The PERMIT TO OPERATE will become void if SAL PERMIT Fees and :EROCE Feas are not paid and/or Un- t!ST systemts) fails <br /> to remain in compliance with the PERMIT CKITIX. <br /> 2) The PERMIT TO OPERATE is granted to the TANK LAR 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 Jaaquin County. <br /> 3) The TAW OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to the 41RTTT84 <br /> OPERATIWG AGREEME`;T required under Section 25293, Chapter 8.7, Division 20, California Health and Safety Code. <br /> d) The TANK OWG shall notify the Environmental Health Division of any proposed change in operation or ownership of the XT <br /> system. <br /> 5) 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 /> e) A construction or removal permit is required from the Environmental Health Division prior to any removal or <br /> charge of UST system equipment. <br /> 7) 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 /> 81 A "Conditional Permit' may be revc&ed if corrections are not completed by the date(5) specified on inspection. <br /> R it +r # 0 <br /> PERMIT TO OPERATE an UST FACILITY issued t-o: LODI UNIFIED , CHOAL. DIST <br /> 815 141 LOCK:EFORD <br /> LODI , CA 95240 <br /> PERMIT': TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause . <br /> THIS FMIST BE DISPLAYED CO ICL LY ON TF1E PREMISES <br /> A # <br /> RE'ALATED FACILITY; LODI USD—UNIFIED TRANEFORATION Account IO, 0003430 <br /> C20 S CLUFF AVE Facility ID: 003842 <br /> LODI , CA 95240 Permit Printed; 08/11/95 <br /> RILLIMG ADDRESS,. <br /> LODI UNIFIED SCHOFIL DIST <br /> ATTN : HEALTH PERMIT'S <br /> ORI E VINE <br /> LODI ,, CA 9S240 <br /> � .1 <br />