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SAN JUIN COUNTY PUBLIC HEALTIRVICES <br /> 304 E.WEBER A HIRD FLOOR • STOCKTON,CA 95202 • ONE (209)468-3420 <br /> KAREN FORST,M.D., M.P.H., HEALTH OFFICER <br /> DONNA HERAN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> 4. <br /> OPERATING P u.IT VUR tAZ«-P39.9ND STCRAGE TANK FACILITY <br /> Tank Tank: Permit. Annual Permit Fee Valid <br /> P'iE Number Record IO Number Capacity Contents _ Permit Status From To <br /> =�^% 005 TA13?705 405427 0;00Conditional Permit 01; <br /> 0 Other 0? 0111101110i ,U1,_r 1 %3ilj3 <br /> PERMIT CONDITIONS; <br /> 11 The PERMIT TO OPERATE will become void if AIRAL PERMIT Fees and SERVICE Fees are not paid aai%vr the .ST s"y5tera(5) fai' <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 can Io.RgUin Colu; t. <br /> ?) The TANK OPERATOR(S), if different from the tank owner, shall =operate and monitor tt+e UST System according to the WRITTP. <br /> OPERATING AGREEMENT required under Section 25293, Chapter 6.7, Division 20, California Health and Safety Code. <br /> 4) The TANK OVNER shall notify the Environmental Health Division of any Proposed change in operation or ownership of the }I T <br /> system. <br /> S) *,n any change in equipment., design or cpeiation of this facility, the PERMIT TO OPERATE will be reviewed by the <br /> Environmental Health Division. <br /> 61 A construction or removal permit is required from the Envirorvoental Health Division prior to any removal or <br /> Change Of U3T systemequipment. <br /> 71) This PERMIT TO OPERATE shall notto considered permission to violate any existing laws, ordinances or statutes of oth <br /> federal, state or local agencies. er <br /> S) A 'Conditional Permit" may be revoked if corrections are not completed by the date(s) specified on inspection. <br /> PERMIT TO OPERATE an UST FACILITY issued to, PACIFIC CAH":;T PROD!ICER'=; <br /> P1-I Ea:IX 159 <br /> LODI , CA j.5Ek0 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERAE,L- <br /> and vlay be SLI'=FENDED or REVOKED fr,r ca.L4se. <br /> THIS PA' T BE f1IS'!-'L,f YED CL "PIC-, LY ON T PRF-41,CF <br /> + ;K + A + + <br /> REGULATED FACILITY: PACIFIC C:i1A3T PRODl1CFRS Account ID; !X100540 <br /> 83S STC C:KTON ST Facility ID; 000541 <br /> LODI ; CA 9540 Permit Printed; 04(26195 <br /> BILLING ADDRESS-, PACIFIC COAST PRODUCER_# <br /> ,= 5 = '3Ti iC:V.TON STREET <br />