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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> 304 E. WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE(209)468-3420 <br /> KAREN FuRST,M.D., M.P.H., HEALTH OFFICER <br /> DONNA HERAN,R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> OPERATING PERMIT FOR LM)ERGRDUND STORAGE TANK FACILITY <br /> Tangy: Tank Permit Annual Permit Fee Valid <br /> P/E Humber Record ID Number Capacity Contents Permit Status From To <br /> 23%0 001 TAIS1701 004112 IION Other 01 Active Permit 01/01/33 12/31/99 <br /> 21V) 002 iA151702 004113 515 Other 01 Active Permit 011009 12/31/39 <br /> PERMIT CONDITIONS: <br /> i) The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fess and SERVICE Fees are not paid ami/or the UST system+.$) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TANK OWNER. who accepts responsibility for operating and monitoring ttie UST system <br /> according to State underground storage tank laws and regulations as well as any conditions established by San Joaquin County. <br /> 3) The TANK OPERATOR(S), if different, from the tank owner, shall operate and monitor the UST system according to the WRKITEN <br /> ITERATING AGREEMENT required under Section 25293, Chapter 5.7, Division 20, California health and Safety Code. <br /> 4) The TANK OWNER shall notify the Environmental Health Division of any proposed change in operation or ownership of the UST <br /> system. <br /> 5:i (gym any change in equipment, design or operation of this facility, the PERMIT TO OPERATE will be reviewed by the <br /> Environmental Health Division. <br /> E) A construction or removal permit is rewired from the Environmental Health Division prior to any removal or <br /> change of UST system equipment. <br /> 7) This PERMIT TO OPERATE shall not be considered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> 4 <br /> PERMIT TO OPERATE an 115;T FACILITY issued W CHEROKEE MEMORIAL PARK' INC <br /> POI BOX 1000 <br /> L.O iD I , CA 3.5241 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may to '=,USPENDED c.r REVOKED for cause . <br /> THIS FORM MUST 13E DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> nF 4 rk # 4 <br /> REGULATED FACILITY; CHEROKEE MEMORIAL PARK Account ID; 0003257 <br /> 22.5.5 S BEC:(MAN RD Facility ID: 00?.553 <br /> Li IDI , CA 9.5240 Permit Printed: 05/03/99 <br /> BILLING ADDRESS: CHEROKEE MEMORIAL PARD: <br /> 225.5 S BECKMAN RD <br /> LOE)I , CA '35240 <br /> �r <br />