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E1,_,IIRONMENTAL HEAL._,N POST ON PREMISE <br /> ISSUED: EXPIRES: PERMIT NO. <br /> August G--�, December 31 , SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> Permit issued to: 1601 E. HAZELTON AVE. • PHONE 466.6781 <br /> USA 09095qP.O. BOX 2009 • STOCKTON, CA 95201 <br /> <br /> ' OPERATING PERMIT FOR UNDERGROUND <br /> Status; 02 STORAGE TANK FACILITY <br /> JAMES ME3ERVY TANK OWNER L:Ht'•1 'ttI'd i%$ idC:- #3 }tis <br /> 103 W ELEVENTH P.Cl. WX 1511 <br /> TRACY CA 95375 TRACY CA `t4` <br /> v;76 <br /> NUMBER OF TANKS 04 <br /> Tank Description Product Cap,ar ity LOM tat.us <br /> ------------ - ------ -------- --- ------ <br /> 0001 TANKS Motor Veh:ic:e Fuel l0,ljou OS 02 <br /> 4)00,} TANKS' MOtor tVehicle !•uel j,00,1j S [)f+ <br /> 000�: TANKS Motor Vehicle Fuel 10,ou!) S 02 <br /> 0004 TANKS Waste Clii 55ra 7 02 <br /> CONDITIONS <br /> 1. This permit expires in five (5) years and 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 /> _- �i�'.L Jiic;; _. L:.`: Era �_el t. ;o SUSpeI rUi-i lelfor. fall""It ._i•(':'t. ': <br /> the Violations by the comi:'lianrc- date(s) noted on the most, recent UGST facility <br /> inspection report. <br /> District Health Officer Director of Environmental Health <br /> THIS PERMIT MAY BE SUSPEND@SOR REVOKED FOR CAUSE �-' / <br />