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r <br /> I SAN JO COUNTY PUBLIC HEALTHRVICES <br /> P 0 Box 388 STOCxrox, SCA 95201-0388 0 Pgo 09) 468-3420 <br /> ERNIST M. FujIMOTO, M.D., M.F.H., ,ACTING HEALTH OFFICER <br /> DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> E r'MONlY EWAL HEALTH <br /> OPER T i NG— 'Ei--611 IF FOR UINDER6ROUND STORAGE TAN k" FACILITY <br /> Tarek Tank Permit Annual Permit Fre Valid <br /> PIE Nuifber Record ID Number Capacity Contents Permit Status From To <br /> 2360 004 TAS04844 007196 2,632 Unleaded 41 Active Permit 01/01196 12/31196 <br /> 2360 445 TA50484S 047197 6,768 Unleaded 01 Active Permit 01/01/96 12/31/'!6 <br /> 2360 06 TA50484E 447198 2,632 Diesel 01 Active Permit 01/41/96 12/31/% <br /> PERM i T CONDITIONS: <br /> 1) The PERMIT TO OPERATE will become void if ANNOAL PERMIT Fees and SERVICE Fees are rot paid and/or the WT system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TAW OWNER who accepts responsibility for operating and monitoring the U'T system <br /> according to State underground storage tank laws and regulations as well as any conditions established by Sari Joaquin County. <br /> 3) The TANK OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to the WRITT€N <br /> OPERATING AGREEtT required under Section 25293, Chapter 6.7, Division 24, California Health: and Safety Cade. <br /> 4) The TANS. i'WNER shall ratify the Environmental Health Division of any proposed change in operation or ownership of the USt,, <br /> =yst . <br /> S) Upon any charm in e';jipment, design c=r 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 frons, the Environmental Health Division prior to any reswval or- <br /> change <br /> rchange of UST system ewipment. <br /> 7) This PERMIT TO OPERATE shall not he considered permission tJ= violate any existirig laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an UST FACILITY issued to: MAD''EEN, ROBERT & CAROL. <br /> 239 _ :,TCtCKTON <br /> RIPON, CA 9 G,E <br /> PERMITS TO OPERATE and ANNUAL_ PERMIT EEE: PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED c-r REVOKED QED f clr rause . <br /> THIS F rkt3r BE DISPLAYED CDONSWICLNXISLY AN T# RISES <br /> REGULATED FACILITY r MADSEN`S SUNRISE DAIRY Account. I0: 0000719 <br /> 239 _ °=TOC:KTON ST facility In; 000720 <br /> RIPON, 9S36G Permit Printed, 05102!96 <br /> BILLING ADDRE5'IS: <br /> MAD,-:,EN' -c SUNRISE DAIRY <br /> ATTN: MADSENd, ROBERT <br /> S _TA=LCKTON <br /> RIPON, CA 95366 <br />