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46 SAM JOAMN COUNTY PUBLIC HEALTH VICES <br /> t P O Box 388 STocKTON, CA 95201.-0388 • PHOW*69) 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA HERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVMON ENTAL HEALTH <br /> OPERATING PERMIT FOR UNDERGROUND STORAGE TANK FACILITY <br /> Tank Ta=I, Permit Annual Pertit Fee vali=d <br /> PIE tater Record ID t4umber Capacity Conf.ents Permit Status From To <br /> 'ir 04 TA504844 CTO 2),0 !!nleaded 01 Active Permit 01/01/97 12/2331/97 <br /> 2360 M. TA504845 017197 6,765 �Inleaded 01 active Perait 01101i97 12/31/37 <br /> 2360 006 TA5D492,46 007195 2t) Diesel 01 Active Permit 01/01/97 12/31/97 <br /> PERMIT GOND I T I€ INS: <br /> I) The PERMIT TO OPERATE will become void if Rhe'AL PERMIT Fees and SERVICE Fees are not paid and/or the LIST cyst ts'l fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2:€ The PERMIT TO DATE is granted tz. the TAW 0N.W' whij accepts responsibility for operating and monitorin, the sI T system <br /> according to State underground storm tank laws and regulations as well as any condztiops established by San Joaquin Counitr. <br /> ^) The TAW C ATOR(S), if different frcm the tank oner, shall gate and wanitor 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. DM R shall notify the Environmental Health Division of any proposed change i, e 'fnation or ownership of the T <br /> system. <br /> Upon any change in ecpuipment., 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 require=] from the Envirowental health Division prior to any removal or <br /> change of UST system equipment. <br /> 7) This PERMIT TO OPERATE shall not he considered Permission tri violate any existia,g laws, ordinances or statutes of otter <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an UST FACILITY issued to; MAD:-:'EN, ROBERT 9? CAROL <br /> X-39 _ ° T0C:1:::T4€]\1 <br /> RIP €N, CA 9 a,6 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED <<r REVOKED fc=r cause: . <br /> :t <br /> THIES FL T BE DI;� ED C_Z*EP1CX""t5Ly CM T E .R, tf-r <br /> + : <br /> RE91ATED FACILITY: MAD'-:EN' rIUNRI SE DAIRY Account. IN C1R)071'9 <br /> T€j�CKTON T Facility IN 000TAD <br /> Permit Printed; 031'28/97 <br /> BILLING ADDRESS' ;IAD-S'EN `S :E:t NR I SE L€A I R <br /> ATTN MADSEN , ROBERT <br /> Z._''" _ STOCKTi rN <br />