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SAN JUIN COUNTY PUBLIC HEALTIRVICES <br /> P U Box 3 SToc:xToN, CA 95201-0388 . PHo (209) 465-3420 <br /> ERNEST M, FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA HERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> OPERATING 'ERM I o i"OR UNDERGRO',)i a'L, :Z"i ORAGE i t-ird�' F Ai.I L I TY <br /> Tank Tank Permit Amyjal Permit. Fee Valid <br /> P/E ftzbep Record ID PIu4t*r Capacity Contents Permit Status From To <br /> 2:360 W4 µ TAS004 007196 2,632 unleaded {)1 Acture Permit. 01/0i/35 +12r:31/95 <br /> 23 w5) ons TASO4345 007197 6,768 Unleaded 01 Active Permit. CiRWH 12/31195 <br /> 2360 (% TA504846 007198 2,632 Diesel ul Active Permit W01195 12/31/9S <br /> PERMIT CONDITIONS .: <br /> 1) The PERMiIT TO OPERATE will become void if AfiRAL PERMIT Fees and SERVICE Fees are not paid and/or the VS'T cyst (s) fails <br /> to rerxain in compliance with the PERMIT COWITIONS. <br /> 2) The POIT TO OFERATE is granted to the TAW 0tt=xER who accepts responsibility for operating and &_=nitorin g the UST system <br /> acrording to State underground storage tarp: law= and regulations as well as any conditions established by San Joaquine Ccojrty. <br /> 3) The TA"y'K OPERATOR(S), if different from the tank Nner, shall operate and &,nitor Ole UST system according to the WR.17EX <br /> OPERATING AGREEMEPIT rewired under Section 25293, Chapter 6.7, Division 20, California Health and Safety Code. <br /> 4) The TANK WNER shall notify the Environmental Health Division of any proposed change in operation or ownership of the tKET <br /> system. <br /> 5) Upon any change in equipment, design or operation of this facility; the PERMIT T,3 OPERATE will he reviewed, by the <br /> Enviromtental Health Division. <br /> 6) A constructiort car re oval permit is required frLw, the Environmental Health Division prier to any regoval or <br /> chanie of UST systefft equipment. <br /> 7) This PERMIT TO OPERATE shall not be considered permission to violate any existing laws, ordinances or stat�fites of other <br /> federal, :tate or local agencies, <br /> PEMIT TO OPERATE an UST FACILITY issued to,; MAD'S'E"N, ROBERT & C:ARCIL. <br /> 2:393 T '11TOCKTON <br /> RIPON, CA 9 JS 3 IS 6 <br /> PERMITS TCS OPERATE and ANNUAL PERMIT FEE PAYMENTS arr— NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause . <br /> + + # # 1 <br /> THIS FCS WSb BE DI-gPL.AYED CWSICAjF A-L_V C WN THE PREMIS US <br /> ¢ <br /> RE6UL.4TED FACILITY; MADSEN,,:; SUNRISE; DAIRY Account i0: 4 00719 <br /> 239 _.T+_4trKTON Facility IN 00�_�720 <br /> RIPON, ICA 95:366 Permit Printed, 08 } f/1 <br /> SILLI ADDRESS; <br /> MAD!3ENS SUNRISE DAjRY <br /> ATTN ; M;DSEN, ROBERT <br /> 239 RIPON �CA 95366 <br />