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AVIRONMENTAL u <br /> HEAD POST ON PREMISE <br /> ISSUED: EXPIRES: PERMIT <br /> NO. <br /> Permit issued t0: <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 1601 E.HAZELTON AVE, • PHONE 468-3420 <br /> P.O. BOX 2009 • STOCKTON. CA 9$201 <br /> - OPERATING PERMIT FOR UNDERGROUND <br /> STORAGE TANK FACILITY <br /> TANK OWNER <br /> DOCTOR-5 i°t>i . T TAA CI MAt,11Tti:l i <br /> 1205 £. N IRT ( `;R REE€ <br /> MANT-CA CA <br /> NUMBER OF TANKS <br /> 4' 'n�: •E i�l otat•uis <br /> 01 <br /> CONDITIONS <br /> 1. This permit expires on December 31, of the current year. Inspection fee will be billed annually. <br /> 2. This permit is granted to the tank owner who accepts responsibility for operating and monitoring <br /> system according to state underground storage tank laws and regulations and conditions set by the county. <br /> 3. Tank operators, if different than the owner, shall operate and monitor the tanks stem a the tank <br /> written operating agreement required under Section 25293, Chapter 6.7, Division 20, California Health Y <br /> Y according to the <br /> Safety Cade. and <br /> 4. Tank owner shall notify the Environmental Health Division of any proposed change in operator or ownership <br /> of tank system. ship <br /> 5. Upon a significant change in design or operation of this facility, <br /> b th <br /> Environmental Health Division. acility, permit will be revy e <br /> 6. This permit cannot be considered as permission to violate existing laws, ordinances, regulations or statutes <br /> of other governmental agencies. <br /> Jogi Khanna, M.D., MPH �� p <br /> Health Officer0 <br /> Ron oti,REHS, Director <br /> NON-TRANSFERRABLE Envental Health Division <br /> THIS PERMIT MAY BE SUSPENDED OR REVOKED FOR CAUSE <br />