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SAN JIUIN COUNTY PUBLIC HEALTHRVICES <br /> 304 E.WEBER AV ., HIRD FLOOR • STOCKTON,CA 95202 ONE(209) 468-3420 <br /> KAREN FURST, M.D., M.P.H., HEALTH OFFICER <br /> DONNA HERAN, R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> RATING P'IF.,IMIT FOR UNDEtGROIJNn- STORAGE TANK FACILITY <br /> Tank Tank Permit Annual Permit. Fee Valid <br /> P/E Number R.ecrrd ID Number Capacity Contents Permit Status From To <br /> 236t ;x15 <br /> TAIK,70-5 N5427 8,0% Other 02 Conditional Permit ti=x'(9198 1'_(31!�C <br /> PERMIT CONDITIONSi <br /> 11 The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SERVICE Fees are not paid and/or the UST systems) fails <br /> to reteain 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 ',1ST system <br /> according to State underground storage tank laws and regulations as well as any conditions established by Sar Joaquin County. <br /> 3) The TAW, OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING AGREEMENT required under Section 2524i, Chapter 63, Division 20, California Health and Safety Code. <br /> 4) The TANK OWNER shall notify the Environmental Health Division of any proposed change in operation Or ownership of the UST <br /> system. <br /> 5) Upcn any charge in equipment, design or operation of this facility: the PERMIT TO CiPERATE will be reviewed by the <br /> Environmental Health Division. <br /> 5) A construction or rerimval Permit is required from the Environmental Health Division prior to any removal or <br /> change of UST system equipment. <br /> 7) This PERMIT TO OPERATE shall not be considered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> N) A ''Conditional Permit" may be revoked if corrections are not completed by the dates) specified on inspection. <br /> PERMIT TO OPERATE an LIST FACILITY issued to: PACIFIC CC iA'_.T PRODIiCER- <br /> Pi i DIX 159 <br /> LODI , CA 'a5240 <br /> PERMIT=, TO CiPF_RATE and ANhdUAL_ PERMIT FEE PAYMENT=; are NOT T;f=,tI_FERABLE <br /> arid may ='+c '=;U'3,PENDEC) co- REVOK.ELD 'nr iausc- . <br /> THIS Fal-ORM K ST t�E DISPLAYED CONSPICUOUSLY ON' THE PREMISES <br /> REGLI ATED FACILITY: P 1 C:i FIC C;_A' ;T PR1 DUCE_�`+ Account ]O. 00)0540 <br /> 82:5 _ =.TCtC:Ec:TC+h1 T Facility IO. G(tOShc <br /> LODI , CA 95 2,40 Perrit Printed: 02/10198 <br /> BILLING ADDRESS, PACIFIC COAST PRODiICERS <br /> 3:3.5 = STOCK:TON STREET <br /> LOC=I , CA <br />