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SAN JOIN COUNTY PUBLIC HEALTHORVICES <br /> P O BOX 388 • Srocic N, CA 95201-0388 • PHONE (209) 465-3420 <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 /> A0*71EIRh,'?9�"$fn'�F_i PEM I T Ea t�i�a� `0-- ° ;a C�iz .-F 'e'=: 3= s TT`f <br /> Tank Tank Permit Annual Permit Fee Valid <br /> P/E _ Nurrier Record 16 Number Capacity Contents _--Permit Status From To <br /> 2384 4(11 TA165401 404874 12,444 Unleaded 01 Active Permit 01/01196 12/ill% <br /> PERMIT CONDITIONS <br /> 1) The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SERVICE Fees are not paid and/or t.1-m- UST sYstem(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TAW OWNER who accepts responsibility for operating and monitorirng 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 TAW OPERATOR(S), if different from the tank comer, 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 /> 41 The TAIL( OWNER shall notify the Envirom-,�ental Health Division of any proposed change in operation or ownership of the UST <br /> system. <br /> 5) Upon any change in equipment, design or operation of this facility, it* PERMIT TO OPERATE will be reviewed by the <br /> Environmental Health Division. <br /> 6) 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 /> # # *. <br /> PERMIT TO OPERATE an UST FACILITY issued to; L.DS — BISHOPS ETOREHOU:.;E <br /> 2 LCniMI,_ RD <br /> STOCKTON, CA 95245 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE P'AYMENT'S are NOT TRANSFERABLE <br /> and rfa"y be SUSPENDED or REVOKED for cause. <br /> SES <br /> THIS FDw,, N'y faS'�T BE I2T( VED C0A4 IC 1S` ON THE 'n' <br /> REGULATED FACILITY; LDS — BISHOP'_; STOREHOUSE Account ID; 0003375 <br /> 3112 LOOMIS RD Facility ID: 44=790 <br /> :3TOCh:TON, CA 94205 <br /> Permit Printed; 05/02/96 <br /> BILLING ADDRESS; <br /> LDS — E:I :HCIF'c; STUFiEHCili:=;E <br /> ATTN ; LDS BISHOPS STOREHOUSE <br /> 3112 LOOMIS RD <br /> STOCK:TON, CA 95205 <br /> 0 0 <br />