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SAN J04WUjN COUNTY PUBLIC HEALTWRVICES <br /> P O Box 38AM SroCicroN, CA 95201-0388 • PHo (209) 468-3420 <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 /> FA ,�taSrtl ?i.'1 e ZR` .L T Y"Ai_=.}�S i�P.KDER4.f3SRWo��'ty� S Te-Y.'43�4 �!- : _I i�{ <br /> Tank Tank Pewit Afinual Permit Fee Vaud <br /> Pi= NumberRecord ID Neer Capacity Contents Pern-- <br /> Status From To <br /> 001 TA20.�5}t OU3dji ?50 Unleaded Ji active Per�it }1/tT1!`�5 12131195 <br /> PERMIT CONDITIONS; <br /> i) The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SER'vICE Fees are not paid and/or the t1ST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TANK NNER Who accepts responsibility for operating and monitories the ;PST 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 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 /> G) The TAW OWER shall notify the Environmental Health Division of any proposed change in operation or ownership of the UST <br /> System. <br /> 5i tapon any change in equipment, design or operation of this facility; the PERMIT TO OPERATE will be reviewed by the <br /> Environmental Health Division. <br /> h) A construction or removal permit is required from the Environioental Health Division prior to any removal or <br /> change of UST system equipment• <br /> ?) This PERMIT TO [MI ATE 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; BENTZ PLUMBING & HEATING <br /> 01 E OAK .3T <br /> LODT ; CA 9E. _di; <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cap.`=e . <br /> THIS Ea" "LIST BE DISI'LAIYED CC*4SpI+_jkM.,iSLY ON THE PREMISES <br /> REGtk..ATED FACILITY; BENTZ PLUMBING & HEATING Account I0: 0003101. <br /> till E OAK ST Facility i0; 003526 <br /> LODI , CA 95240 Permit Printed; 082/11/95 <br /> Bli_LING ADDRESS; <br /> EiENT% PLl'P1BING b HEATING <br /> ATTN : BENTZ PLUMBING s, HEATING-; <br /> =11 E OAK :;T <br /> LOD I , CA 351240 <br />