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Erv�RONMENTAL HEAL`,,.,I POST ON PREMISE <br /> ISSUED: ^ EXPIRES: PERMIT N0. <br /> June ' l, 1982 De entOer 3i, 19 SAN JOAOUIN LOCAL HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. • PHONE 4666781 <br /> Permit issued to: P.O. BOX 2009 • STOCKTON, CA 95201 <br /> :QA KAM GROUND-S,TOCKTON/LODI <br /> _3S1 E. EIG MILE RD. <br /> LODI CA 95240 OPERATING PERMIT FOR UNDERGROUND <br /> Status: 02 STORAGE TANK FACILITY <br /> KOA KAMPGROUND -STOCKTON/LODI ILL EAVENSON <br /> 2851 E. EIGHT MILE RD. TANK OWNER 178,31 GLENWOOD DRIVE <br /> LODI CA 95240 MANTECA CA <br /> 02 <br /> NUMBER OF TANKS <br /> Tank Description Product Status <br /> ---- ----------- --------- -------- --- ------ <br /> 0001 TANKS Unleaded 51000 5 02 <br /> 0002 TANKS, Unleaded 5,000 5 02 <br /> CONDITIONS one (1) tear <br /> 1. This permit expires in ffvi4�j"iiand 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 SUSPENDED OR REVOKED FOR CAUSE I-Ne <br />