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SAN JO UIN COUNTY PUBLIC HEALTH VICES <br /> T 304 E. WEBER AVE. FLOOR • STOCKTON,CA 95202 • NNE(209) 468-3420 <br /> KAREN 1'URST, M.D., M.P.H., HEALTH{OFFICER <br /> DONNA RERAN,R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEAL'T'H <br /> OPERATING PERMIT FOR UNDERGROUND STORAGE TANV', FACILITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> P/E Number Record ICI Nxilber Capacity Contents Permit Status from To <br /> M 004 TA504344 (W,196 2,632 Unleaded 01 Active Permit 01/01/99 12/31/99 <br /> 2360 005 TA504845 007197 6,768 Unleaded 01 Active Permit 01/01/93 12131199 <br /> 22-465-0 006 TA504846 00719'8 2,532 'Diesel 01 Active Permit 01101199 12/31/99 <br /> PERMIT CONDITIONS: <br /> 11 The PERMIT TO OPERATE will become void if ANtdOL PERMIT Fees and SERVICE Fees are not paid and/or the UST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TANK OWNER who accepts responsibility for operating and monitoring 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 o=wner, 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 /> 4) The TANK OWNER shall notify the Environmental Health Division of any proposed chanae in operation or ownership of t-he UST <br /> system. <br /> 5) Upon any chance in equipment., design or operation of this facility, the 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 toany removal or <br /> change of IST system equipment. <br /> 7) This PERMIT TO OPERATE shall not. hie considered permission tc= violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an UST FACILITY issued to,, M ADSEN, ROBERT °; ' AFOL. <br /> = STI_IC 'TON <br /> RIPOIN, CA <br /> .PERMITS TO OPEF*(ATE KI-I=J ANN(_AIL PERMIT FEE P'AYMENT'S; a:'i» NOT TRAN=SFERABLE <br /> tic_ -;(-)SPENDED RE'JOKELD foy- Czause . <br /> TH <br /> I-St I T I <br /> REGULATED FACILITYs MADSEN` *_;UNRI=,E DAiR'Y Accyunt IDI 0000719 <br /> S '=;T0C:KTON °_=T Facility ID, 000720 <br /> RIPON , C:A 9 G'-'!6 6 Permit Printed, 04/26/99 <br /> BILLING ADDRESS, MADSEN ' SI.-)NR ISE DA I RY <br /> :ATTN, MADSEN, ROBERT <br /> 7 _ -:TI-IC�KTI_IN <br /> RIPON,. ,C.A 95i366 <br />