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br.vJIRONMENTAL HEALv vw POST ON PREMISE <br /> ISSUED: EXPIRES: PERMIT NO. <br /> +�i-% 1 199:1 r p?phot" 31 SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Permit Issued to: 1601 E. HAZELTON AVE. • PHONE 468-3420 <br /> P.O. BOX 2009 • STOCKTON, CA 95201 <br /> e:.OA k:rtt4'rCirvlhl�il— TIICk:ikii�/LLIDl <br /> 551 c. EIGHT MILE RD. <br /> ICIDI CA '35240 OPERATING PERMIT FOR UNDERGROUND <br /> St.atu5' 01 ID Ido: KOAKA -_ STORAGE TANK FACILITY <br /> KOA KAMPGROUND —S-IOCKTON/LODI TANK OWNER HILL EAVENcwv <br /> 2851 E. EIGHT MILE RD. 17881 GLENIA001) DRIVE <br /> LODI CA 95240 MANTEC:A CA 95336 <br /> NUMBER OF TANKS 02 <br /> Tani, Description Product. Capacity LDM Status <br /> 001 TANKS Motor Vehicle Fuel 5,000 .5 nil <br /> 0002" TANKS Motor Vehicle Fuel 5,000 S Oi <br /> CONDITIONS <br /> 1. This permit expires on December 31, of the current year. 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 /> Jogi Khanna, M.D., MPH Ron V "roti, REHS, Director <br /> Health Officer `, NON-TRANSFERRABLE Envii*-me ental Health Division <br /> THIS PERMIT MAY BE SUSPENDED OR REVOKED FOR CAUSE <br />