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AIRONMENTAL HEAL* POST ON PREMISE <br /> ISSUED: EXPIRES: PERMIT NO. <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Permit ISSUed t0: 1601 E. HAZELTON AVE. • PHONE 468-3420 <br /> P.O. BOX 2009 • STOCKTON,CA 95201 <br /> ci i uCt::f C7ld, .F _ <br /> =t75 OPERATING PERMIT FOR UNDERGROUND <br /> Si.at.us: 01 Iii ni ,) Bk BCAii STORAGE TANK FACILITY <br /> 11113 SHAW, ROAD 1113 OWNER 1113 SHAW F"AU ' <br /> 81'10C'17CIN. CA :162105 STC7CXTON, CA 'x.205 <br /> NUMBER OF TANKS <br /> Ta ik Description 'Product. L:rpBf ty I DM e''11.atuS <br /> _.--- -------------------- -- ______ <br /> 011.701 TANKS Motor Vehicle Fuel "000 21; 01 <br /> tit)t; IAN�S Motor Vehicle Fuel �,OtK) 4S t)1 <br /> ;7003 1"ANKS3 Other55t? <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 the tank <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 tank system according to the <br /> written operating agreement required under Section 25293, Chapter 6.7, Division 20, California Health and <br /> Safety Code. <br /> 4. Tank owner shall notify the Environmental Health Division of any proposed change in operator or ownership <br /> of tank system. <br /> 5. Upon a significant change in design or operation of this facility, permit will be reviewed by the <br /> Environmental Health Division. <br /> 6. This permit cannot be considered as permission to violate existing laws, ordinances, regulations or statutes <br /> of other governmental agencies. <br /> Jog! Khanna, M.D., MPH Ron V I oti, REHS, Director <br /> Health Officer P NON-TRANSFERRABLE Envi ental Health Division <br /> THIS PERMIT MAY BE SUSPENDED OR REVOKED FOR CAUSE <br />