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SAN JO,,TWIN COUNTY PUBLIC HEALTIT "ERVICES <br /> P O Box 38b,-,j Sroc wmN, CA 95201-0388 • PHo� (209) 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> OPERATING PERMIT FOR l RGRO 141) STS TAW. FACILITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> P/E Number Record ID NUmbT Capacity Contents Pera'it Status From To <br /> ^30 001 TA2?5$01 O(O$3F0 55Q Oi ActlVe Pe mit 01111195 12/'1/x5 <br /> PERMIT CONDITIONS: <br /> 1) The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SERVICE Fees are not paid and/or the UST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> The PERMIT TO OPERATE is granted to the TANK OWNER who accepts responsibility for operating and &onitoring the UST System <br /> according to Slate underground storage tank laws and regulations as well as any cc,ditions established by San Joaquin/ County. <br /> 3) The TANKOPERATOR(S), if different from the tank owner, scall Operate and monitor the UST system according to the WITTEN <br /> OPERATING AGREEMENT required Dander Section 25253, Chapter 5.7, Division 20, California health and Safety Code. <br /> 4) It* TANK OYtJER shall notify the Environmental Health Division of any proposed change in operation or wnership of the tr,, <br /> system. <br /> 5) *cn any change in equipment, design or operation of this facility, the PERMIT TO OPERATE will he reviewed by the <br /> Environmental Health Division. <br /> 5) A construction or removal permit is required from the Environmental Health Division prior to any removal or <br /> change of UST system equipment. <br /> 7) This PERMIT TO OPERATE stall not be considered permission to violate any existing laws, ordinances or statutes of Other <br /> federal, state or local agencies. <br /> PERihIT TO OPERATE an UP FACILITY issued to; INSTA LUBE <br /> 1209 E HAMMER LANE <br /> STOCKTON, CA 95210 <br /> PERMIT:. TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause <br /> THIS FORM lnfST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> RECILATED FACILITY: INSTA LUBE Account ID: 0003333 <br /> 1209 E HAMMER LN Facility ID: 003808 <br /> STOCKTON , CA 95210 Permit Printed; Ol_;111193 <br /> BILLING ADDRESS: <br /> INSTA LUBE <br /> ATTN : INSTA LUSP <br /> 1:09 E HAMMER LN <br /> STOCKTON , CA '95210 <br />