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ENVIRONMENTAL HEALTH POST ON PREMISE <br /> ISSUED: EXPIRES: PERMIT NO. <br /> u9u't 28. 1929 DecernGer 31, <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> Permit issued to: 1601 E. HAZELTON AVE. • PHONE 466-6781 <br /> ,1CKSON TRUCKING P.O. BOX 2009 a STOCKTON, CA 95201 <br /> 16658 S. ESCALON SELLOTA RD <br /> cSC:ALON CA 95320 OPERATING PERMIT FOR UNDERGROUND <br /> Status: i;i STORAGE TANK FACILITY <br /> DAVID DERICKSON TANK OWNER iN' <br /> 15658 S. ESCALON BELLOTA RD. 15658 S. ESCALON BELLOTA RD. <br /> ESCALON CA 95320 ESCALON CA 95320 <br /> NUMBER OF TANKS 03 <br /> Tank Description Fr:3 uct_ t:a"acity LGM Status <br /> ---- ----------- ------------------- -------- --- ------ <br /> 0001 TANKS Motor Vehicle Fuel 12,000 .5 01 <br /> 0002 TANKS Motor vehicle Fuel 2,000 5 01 <br /> 000:3 TANK'S Waste Oil 2.000 7 01 <br /> CONDITIONS <br /> -.ile ( 1 ) yeFa.I <br /> 1. This permit expires in flv'e'( )'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 /> District Health Officer nirector of Environmental Health <br /> THIS PERMIT MAY BE SUSPENDIT OR REVOKED FOR CAUSE `f <br />