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SAN JONUIN COUNTY PUBLIC BEALTI RVICES <br /> P O Box 388qft STOCKTON, CA 95201-0388 • PHo (209) 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> CIPMTI PERMIT FLR g. RGR% `D STLRAGE T FACILITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> PX Number Record lD Number CapatitY Crntents Perruit Status <br /> 213�) ^O1 TA1�37401 004577 I,O(n7 linIeaded 02 Conditional Permit OIF01195 12 rom To 72-/31/35 <br /> 1311.5 <br /> PERMIT CONDITIONS; <br /> 0 The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SERVI(f Fees are not Paid a-,idfor the UST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> _) The PERMIT TO OPERATE is granted to the TANY -WR who accepts respoirsibility for operating and monitoring the UST system <br /> according to State underground storage ta4 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 /> ction <br /> 4) TOPERATING <br /> TANK 1310 ER shallrequired under notifyy the Environmental HealthDivision Of anyion 20,ProposedachangelinHealth operat.ion or ety owrrerst�p of the Ijq <br /> system. <br /> 5) Upon any change in equipment, design or operationof this facility, the PEiuMIT TO OPERATE will be reviewed by tM <br /> Environmental Health Division. <br /> 6) A construction ar 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 to considered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> B) A "Conditional Permit" may be revoked if corrections are not completed by the date(s) specified on impection. <br /> PERMIT TO OPERATE an UST FACILITY issued to; LODI IRON WORK.:-:; <br /> 1029 ' SCHOOL ST <br /> LODI , CA 3S240 <br /> PERMIT:; TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE. <br /> and may be SUSPENDED or REVOKED for cause . <br /> THIS FOW MUST BE DISPLAYED CL-ftSpIC:UL7�JSLY CN THE FrRe�I E <br /> A # ?F P 9 <br /> RE61)LATED FACILITY; L-ODI IR_rN WOR}(:_: Account ID, 000:iSg7 <br /> f20 ,ACRAMEN TO ST Facility ID; Ca!j ;;Bi2 <br /> LODI , CA 35240 Permit Printed; 08! <br /> BILLING ADDRESS: <br /> LODI IRON WORKS <br /> ATTN: LODI IRON; WORKS <br /> PO EIOX 1150 <br /> LODI , CA 3S241 <br />