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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 FORST,M.D., M.EH,HEALTH OFFICER <br /> DONNA HERRN,R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> EVERATING I IT FOR UNDERLPMMD S-TCAAGE FACILITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> P/E Number Record ID Number Capacity Contents Permit Status From To <br /> [380 (101 TAIS1701 004112 11000 Other 01 Active Permit. ,1101/33 X2/31/98 <br /> 2380 002 TA151702 004113 Si5 Other 01 Active Permit 01/01i% 121'311`.1`, <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 16T system(s) fails <br /> to remain in compliance with the PERMIT UNDITIOMS. <br /> 2) Tre PERMIT TO OPERATE is granted to the TA* OliIER who accepts responsibility for operating and mrnitorirrg the Lr6T system <br /> according to State underground storage tank laws and regulations as well as any conditions established by San .Ioaquin County. <br /> 3) The TANK OPERATOR(S), if different from the tar& owner, shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING AGREEMENT required under 'Section 25293, Chapter 5.7, Division 20, California Health and Safety Cade. <br /> 4) The TANK OWNER shall notify the Environmental Health Division of any proposed charge in operation or ownership of Ste UST <br /> system. <br /> S) Leon any change in equipment, design or Operation of this facility, the PERMIT TO OPERATE will be reviewed by the <br /> Environmental Health Division. <br /> Al A construction or removal permit is re=quired from the Environmental Realth Division prior to any removal or <br /> change of t>;T 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 K # <br /> PERMIT TO OPERATE an VST FACILITY issued to: CHEROKEE MEMORIAL PARK; INC: <br /> PO BOY 1000 <br /> LORI , CA 95241 <br /> PERMITS TO OPERATE a)id ANNUAL PERMIT FEE PAYMENT'; %ane NI-IT TRANSFERABLE <br /> wild rnziy be Si)SPENDED rW REVOKED f car c aLase . <br /> THIS FLEM mMT BE DISPLAYED CtNWICUCkKA_Y M TRE PREhISES <br /> REGLLATED FACILITY; CHEROKEE MEMORIAL PARK Account ID: 0003267 <br /> 225S S BECKMAN RD Facility ID; 003689 <br /> LODI , CA 9.9240 Permit Printed: 03/02/98 <br /> BILLING ADDRESS; CHEROKEE MEMORIAL PARK <br /> 225S S BECKMAN RD <br /> L.ODI , CA 795240 ( � <br />