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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> P O BOX 388 • SrOCKTON, CA 95201-0388 • PHONE (209) 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA HERRN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> &PeZATAW PERMIT 1=aR MEERCIR'I. Oil S'aC+" -. T.="," FACILITY <br /> Tank: Tank Permit Annual Permit Fee Valid <br /> P/E Number Record ID Number Capacity Contents Permit. Status From To <br /> M 061 TA1St701 004112 1,000 Other 01 Active Permit 01/01/96 121$1/96 <br /> 2 %12 TAIS1702 004113 SSS Other 01 Active Permit 01/01/96 12/31/96 <br /> PERMIT CONDITIONS: <br /> 1i The PER4IIT TO OPERATE will become void if AN1kk PERMIT Fees and SEWICE Fees are rot. Paid arWor the t5T system(=.) fails <br /> to remain in compliance with the PERMIT CONDITIIIRS. <br /> 2) The PERMIT TO OPERATE is granted to the TANK OWWER who accepts responsibility for operatirve and monitoring the UST system <br /> according to State underground storage tank laws and regulations as well as any conditions established by San Joaquin Cnunty. <br /> 3) The TANK OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to the ;MITTEN <br /> cTERAT'NG AGREEMENT required under Section 25293, Chapter 6.7. Division 20, California Health and Safety Code. <br /> 41, The TW, DONER shell notify the Environmental Health Division of any proposed change in operation or ownership of the UST <br /> system. <br /> 5) Upon any change in equipment, design or operation of this facility, the PERMIT TO OPERATE will be reviewed by the <br /> Environmental Health Division. <br /> 6) A construction or removal permit is Ie<sired from th* Environmental Health Division prior to any removal or <br /> change of UST system equipment. <br /> 1) This PERMIT TO OPERATE shall not N considered permission to violate any existing laws, ordinances c,r statutes of other <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an UST FACILITY issued to: CHEROKEE MEMORIAL PARK INC <br /> PO BOX 1000 <br /> LODI , CA 96241 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENT'~ are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for ca.use. <br /> THIS fry WIST BE DIS1F"LAYE1) OMWICI.oOLCLY ON TqE PREMISES <br /> REWLATED FACILITY; CHEROKEE MEMORIAL PARK Account IDI 0003767 <br /> 2266 S BECKMAN RD Facility 16: 6036'D9 <br /> LCIDI , CA 95140 Permit Printed; OS/02/96 <br /> BILLING ADDRESS; <br /> CHEROKEE MEMORIAL PARK <br /> ATTN : CHEROKEE MEMORIAL PARK <br /> 1255 - BECKMAN RD <br /> LODI , CA 95240 <br /> fi <br />