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EA RON M ENTAL HEAL& POST ON PREMISE <br /> ISSUED: EXPIRES: PERMIT NO. <br /> - } - -• I DO- 'e '0- SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. • PHONE 466-6781 <br /> Permit issued to: P.O. BOX 2009 • STOCKTON, CA 95201 <br /> ='!`4•}''-S�!P'� Cl" 9S" OPERATING PERMIT FOR UNDERGROUND <br /> 02 STORAGE TANK FACILITY <br /> :tC(I;;i h:: i��Lff;4C��:; TANK OWNER F iL.- i-- '=:i-iEL <br /> r:1.3I PACIFIC: AVENUE F'.O. 80X 4(343= <br /> _;TCit~r::I i_{N "A 9.620 _;T CIC:k;Tt N C:A °�S4r�� <br /> '7' (' j ,.i } NUMBER OF TANKS !y�=?= <br /> Tank ilk:. �lus. i'Lr L i.�..�i i {'!_l�frlc L• �_ !- :1.`v 7 f vi{ 3 Latus <br /> ------- <br /> 00 01 T-4NK'- S'f+ %�'i Vehicle Fuel <br /> 'ii.('+ : TANP lid. <br /> s)ii o'3 I HWMotor Vehicle Fue I <br /> CONDITIONS <br /> 1. This permit expires in five (5) years and is renewable thereafter. Inspection fee will be billed annually. <br /> 2. This permit is granted to the tank owner who accepts responsibility for operating and monitoring the tank <br /> system according to state underground storage tank laws and regulations and conditions set by the county. <br /> 3. Tank operators, if different than the owner, shall operate and monitor the tank system according to the <br /> written operating agreement required under Section 25293, Chapter 6.7, Division 20, California Health and <br /> Safety Code. <br /> 4. Tank owner shall notify the Environmental Health Division of any proposed change in operator or ownership <br /> of tank system. <br /> 5. Upon a significant change in design or operation of this facility, permit will be reviewed by the <br /> Environmental Health Division. <br /> 6. This permit cannot be considered as permission to violate existing laws, ordinances, regulations or statutes <br /> of other governmental agencies. <br /> .l . is a con(Jiticonal Pe-pifiit si-4biect• T•i.aSPN1ls101l Or ('eVOkat•iOn f0P ic4i1U)7-e t•C' CC.I'' eCt- <br /> the vi-olations I_+'-y t•I'i_ cofftiplia-i-ice date`••.5) noted _m %`cr ffi<<S%• ----cent. UG'_=T facility <br /> District Health Officer Director of Environmental Health <br /> THIS PERMIT MAY BE SUSPENL—j OR REVOKED FOR CAUSE <br />