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SAN JONUIN COUNTY PUBLIC HEALT41WICES <br /> P O BOX 3 SrocicToN, CA 95201-0388 • PHONE (209) 468-3420 <br /> ERNEST M. FUIIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA HERRN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> i?PEB€ T:86 F'r IT FC#�: tlt L P,C O,ID STS* E TAN EPi ILIT <br /> Tank Tack PepC t Annual Permit Fee Valid <br /> P(E Number Record IC Number Capacity Contents Permit Status From To <br /> 3".O 4Ol TR15Sd0i 004871 12,OQO Unleaded ul ctive Iermit <br /> PERMIT CONDITION_; <br /> 1) The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SERVICE Fees are not paid andior the UST systems' fails <br /> to remain in compliance with the PERMIT CNOITIONS. <br /> ?) The PERMIT T4 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 TAN, OPERATOR(S), if different fr.m the tank 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 Code. <br /> 4) The TANK 11WKER shall P-itify the Environmental Health Division of any proposed change in operation or owne?ship of the UST <br /> System. <br /> S) Upon any change in equipment, design or operation of this facility, the PERMIT TO OPEf�t will be reviewed hY the <br /> Environmental Health Division. <br /> b) A construction or removal permit is required 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 /> PERMIT TO OPERATE an UST FACILITY issued to; LDS -- k:I=;HOPS* STOREHOUSE <br /> :3112 LOOMIS RD <br /> STOC:KTON, CA 9S20S <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause . <br /> T41. <br /> Tk11S FW" 1�KST 43F E3YSLAYEO CY .k(4E3SLY ON THE FrCEIiISE' <br /> +K K C <br /> Account iD: 000:.'7S <br /> REGULATED FACILITY: LDS311 - LOOMIIP STOREHOUSE Facility ID: 00:3790 <br /> 311 LOOMIS 1;D _ <br /> STOC KTON . CA 952015 Permit P*inted: 06/1 1 /95 <br /> BILLING ADDRESS: <br /> LDS - BIc;Hi.F':=; =;TOREHtIL1:..E <br /> ATTN : LDS - BI'3HOPS STOREHOUSE <br /> ,11 LiIs-IMIS RD <br /> STOCIF.-JON, CA 9S20S <br />