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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE(209)465-3420 <br /> A KAREN FORST,M.D., M.P.H., HEALTH OFFICER <br /> DONNA RERAN,R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> L-FERATIP* FEfe'9'9IT FOR UMERGROUND STORAGE TAS.. FACILITY <br /> Tank: Tank Permit Annual Permit Fee Valid <br /> P/L Number Record IO Number Capacity Contents Permit Status From To <br /> 2360 004 TA1S4904 004632 6,000 Other 01 Active Permit 01/01/95 12/31/95 <br /> 1) OOS TA1S4905 004633 1,000 Unleaded 01 Active Permit 01/01/9+3 12131195 <br /> 2360 (A TAIS4906 004634 7,500 Other 01 Active Permit 41/41195 12/31/95 <br /> PERMIT CONDITIONS ; <br /> i:% The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SERVICE Fees are not paid andior ure UST systems) 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 the 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 WRITTEN <br /> OPERATING AGREEMENT required under Section 25293, Chapter 6.7, 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 owrrnrship of the UST <br /> system <br /> 5) Upon any change in equiprfent, design or operation of this facility, the PERMIT TO OPERATE will be reviewed by the <br /> Environmental Health Division. <br /> 61 A construction or removal permit is required from the Envirenmen!al leaitki 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 existiro3 laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an UST FACILITY issued to; SAN JOAQUIN CID rtl_1:=QUITO ABATEM <br /> 200 N BECKMAN RD <br /> L.ODI , CA 95240 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may t-e SUSPENDED or REVOKED for cruse . <br /> 1 <br /> THIS Fe7litl "UST BE DISPLAYED Ctr tEFICU Y ON Tf4 PRErISES <br /> REGULATED FACILITY; SJ CO MOSQUITO & VEC:TOR. CTRL Account I0; x703341 <br /> 200 N BECKMAN RD Facility ID. 003762 <br /> LODI , CA 95240 Periait. Printed: 03/02/98 <br /> BILLING ADDRESS; SJ CO MOSQUITO & VECTOR CTRL <br /> ATTN : SAN JOAIUIN CO MOSQUITO ABATEM <br /> 7759 S AIRPORT 4)Y <br /> STOCKTAN, CA 5'2i rC <br />