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EO1 RON M ENTAL H EA --1 POST ON PREMISE <br /> ISSUED: EXPIRES: <br /> PERMIT N0. 01766 _ 1 of <br /> April `'' 989 December 'jt ' 1989 <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> Permit Issued to: 1601 E. HAZELTON AVE. • PHONE 466-6781 <br /> 5 <br /> iNDY I S CHEVRON P.O. BOX 2009 • STOCKTON, CA 95201 <br /> 4400 WATERLOO ROAD <br /> STOCKTON, CA �202 OPERATING PERMIT FOR UNDERGROUND <br /> Status,, .01 STORAGE TANK FACILITY <br /> ANDY HA 1 F 1 ELD CH""VR IN <br /> TANK OWNER4400 WATERLOO ROAD 55 7 5 MARKET S`I" ' <br /> STOCKTON, CA 9S20zr:- S*AN FRANC:lS'C:0 CA 941€�� r <br /> -a <br /> NUMBER OF TANKS 0 <br /> TankDescript•i=� i^r, { Ui:t _. ;n.ti lt•y LC Dta'ius <br /> Owl TANKS Motor Vehicle Fuel 101000 05 01 <br /> 0002 TANKS Motor Vesicle Fuel i 0,000 05 01 <br /> 0003 TANKS Motor Vehicle Fuel ion 000 05 s' <br /> ?i <br /> ooca TANKS Waste O i 1 1 ,000 07 01 <br /> CONDITIONS <br /> one (1) year W <br /> 1. Thisermit expires in five` "*icl is renewable thereafter. Inspection fee will be billed annually. <br /> P P P <br /> fe"h;"A <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 /> i <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 /> i 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 /> I <br /> IlogKhanna, M.D. , y , Ronald t . liloti , R.S. <br /> District Health Officer Director of Environmental Health <br /> { <br /> THIS PERMIT MAY BE SUSPENDS R REVOKED FOR CAUSE <br />