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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> P O Box 388 • S ocHTON, 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 /> L�< EReAT INE PEii"IT F13R UNDERGROLINDD %Tlld`+AGE T4W, FACILITY <br /> Tank Tari; Permit. Anra,ai Permit Fee Valid <br /> PrE Number Record ID Number Capacity Contents Permit Status From To <br /> x434 441 TA15141 4112 ':,(n O et�r �i Active Permit Ui/n17N 2/ 1!y5 <br /> 233') CO2 T4151742 44411= 515 Other Oi Active Permit 41/01195 12/31/95 <br /> PERMIT CONDITIONS: <br /> i) The PERMIT TO OPERATE will becca* void if AN?atfAL PERMIT Fees and 52n'4NE Fees are not paid and./or the UST system(s) fail_ <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PEERMIT TO OPERATE is granted to the TAW LkeNER who accepts resF�cnsibility for operating and monitoring the i;ST system <br /> according to State underground storage tank laws and regulations as well as any conditions established by San Joaann Cwrty <br /> 3) The TANK OPERATOR(S), if different from the tank owner, shall cerate and monitor the UST system according to the 'WR17Ey <br /> OPERATING 4CREEMENT required under ''ection 25291, Chapter 5.7, Division 24, California Health and Safety Code. <br /> 4) The TAW CVXR shall notify the Environmental Health Division of any proposed change in operation or ownership of the US+ <br /> system <br /> 5) Won any change in epApment; design or operation of this facility, the PERMIT TO OPERATE will be review& by the <br /> Environmental Health Division. <br /> 6) A construction or removal permit is required from the Environmental Health Division prior to any revival or <br /> change of VST system equipment. <br /> 7) This PERMIT TO C>FERATE shall not be considered permission to violate any existing_. lass, ordinances or statutes of other <br /> federal, state or local agencies, <br /> a t 4E # <br /> PERMIT TO OPERATE an USI FACILITf issued to; CHEROKEE MEMORIAL PARK. INC <br /> PO BOX 1000 <br /> LODI , CA 'i5 X11 <br /> PERMIT= TO OPERATE ano ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause , <br /> L <br /> THIS FOMI MUST BE DISPLAYED OONS'PICLII?t1'SLY ON TVIE PRE"I'SES <br /> REUATED FACILITY; PER KEE MEMORIAL PARk:: Account. ID; O 0:_ F7 <br /> :45 : BECKMAN RD Facility ID; 00:,;,5.•9 <br /> LODI , CA 95240 Perroit Printed: 0,8/2 I /95 <br /> BIL LING A�RESS; <br /> C'ERC+K.EE MEMORIAL PARE; <br /> A-, T;v ; CHEROK:EE MEMORIAL PARK: <br /> 2255 S BECKMAN RD <br /> L ODI , CA 4.S240 <br />