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SAN JO COUNTY PUBLIC HEALTH�VICES <br /> P O Box 388 STOCKTON, CA 95201-0388 • PHo ) 468-3420 <br /> ERNEsP M. FUJIMOTo, M.D., M.P.H., AcTiNG HEALTH_OFRc_ER <br /> DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> WING PERMIT FOR 00ERGRONM STORAGE TAW FACILITY <br /> TIr moi. <br /> yank fdIlk. Permit A;i {i l �'cr,pi +}t Fee lid <br /> _ <br /> •iCinteTL5 Permit `tavUS --.._.._.� ric?iNymber Record 1D iiber Tapa, <br /> ? 25NS TACo5: 71 '!Jo Unleaded 01 Active Permit C61,2/916 <br /> { A � d{ Crn i. riTJl <br /> l W <br /> 3_'r li <br /> --35@) 007 TAS06-?N- Cr37ee =,WO Giesel 01 Active Permit11;3'36 i2{11-1/'3 <br /> ,,iF; <br /> PERMIT CONDITIONS! <br /> D r?" pER;-.I 10 �i1 ER wiil he-ccgite void if AIWAL PEM!T Fees and SERVICE Fees are net Paid andlop t`he XT system(s) fails <br /> to remain in compliance with the F`FR,4rT C:CIN01TION' . <br /> 2, 4¢e f'E.rlT TG F)PLUATE is aranti?d 1-o the TANS•. WER who accepts responsibility for operating arpd monitorifr-g the UST system <br /> according to St.ate r.rndergroiffid storage tank laws and rewlations as well as any conditions established bu San Joaquin CcGnty. <br /> ?.t : r r syste <br /> IJE t Lri' 'he TA . .'ERAT A S) if 1-ifreot fry t>e to ~ orchalmeata ard _n_tor +`e J� atcor:-Ji t� tF TC• <br /> FtRA11y146 hGREEItEN; required vmdar Section 25253, Chapter 5.7, Division LC, C1-1iforn.d health a"d 'Safety <br /> Code. <br /> �1 iNQ TA;}ik. 'AAE shall notify the EnvlDivision of any Proposed change in operation or 4wership of the t6J <br /> System. <br /> 5) Uipo; arty change in equis4went, design or opelat.ion of this facility; the PE'RMIT TO #PRATE will be revietled by the <br /> Environmental Health Division. <br /> 6*j A construction or removal per-kit is required i•om the E-nbitunmentdl Health! Division prior to ani removal or <br /> chame coif UST s-isttE4" e�,u'#ipment. .1 <br /> Tl This ;=ERNIT its OPER' E shall not be tonsidei-ed per•c+issioo to. `violate any E Est: m la+s, +r'dirt�!±±�E:s lit• stat'?t"- f other <br /> federal, state or local agenries. <br /> ?I--R9IT Tri CIPERATE an UST FAr'!LT'Y isstcd to _ N G H AP4RIV. __ <br /> 1.,:125 W L�_;�.KEF+Vii'':D ._•T <br /> L_f,1DI CA '9S2A i <br /> OPERATE ;-:k•f vj tit NII(i ►_ P c PI'1A l=s FEE AY_� EENT:_* �i-t. Ni--!�" T'Uh '�:r-Ef--As' 7 <br /> tummy ti ,l,J:-_tt"'i:LADED con— REVC-4:.ECS 1 ci i .ausi e . <br /> THIS FORK KJST DE D I 'LAVED GOA I CAMSLY ON T1qE PREM I SES , <br /> �& <br /> F'EGULATEt3 FACILITY; ILODI I f-OOD a; L I Q(JOR-+ Account ID; WK3268 <br /> 12,r=,",+ W L 0'CF'•.E F_i lU PUil':ty 19: 00.:90 <br /> L.ODI . CA 9922 40 Permit Printed; 12!27196 <br /> $17LL11;;ii D'ESS-1 L C i D I F010D �, L_ICk1tjOR-+ <br /> tri I C_:CKE FfCRD <br /> LODI CA 9.5240 <br /> t <br />