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ENVIRONMENTAL HEALTH POST ON PREMISE <br /> ISSUED: EXPIRES: PERMIT NO. <br /> =pteffiber 9. 19Ut:= Le elfiber •Ji, SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. • PHONE 4666781 <br /> Permit issued to:--N FARMS 1601 <br /> BOX 2009 • STOCKTON, CA 95201 <br /> ;i;7: I REGER I CK RD <br /> 4PON CA 95366 OPERATING PERMIT FOR UNDERGROUND <br /> Status: u2 STORAGE TANK FACILITY <br /> NICOLAYSEN FARMS' N <br /> 23073 FREDERICIK RD TANK OWNER :x3473 FREDERICK <br /> RIPON CA 95366 RIPON CA 95366. <br /> fJ <br /> NUMBER OF TANKS <br /> Tank Description Product t. a.c_cy ..Jil Status <br /> ---- ----------- ------------------ -------- --- ------ <br /> 0001 TANKS Motor Vehicle Fuel 10,00O Os 02 <br /> 000.12 OINKS Motor Vehicle Fuel 6,500 05 01 <br /> CONDITIONS <br /> _lie f: i ) vear <br /> 1. This permit expires in fi39{5)'year? 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 /> .. .. . _ _ Permit. subject to suspension or revokati On for failure t0 correct <br /> .,he vioie:tions by ..the compliance date(s) noted on the most recent V6ST facility <br /> '.n PrCi.iort report. <br /> District Health Officer Director of Environmental Health <br /> THIS PERMIT MAY BE SUSPEND5b-JR REVOKED FOR CAUSE <br />