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SAN J04§LJIN COUNTY PUBLIC HEALRVICES <br /> Y P O Box 388 STocKTox, CA 95201-0388 • PHO (209) 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> C-*�EMTING PERMIT FOR UNIERGROUND STORASE TAW FACILITY <br /> Tank Tara Permit. Annual Permit Fee Valid <br /> Number Record ID Number Capacity Contents Permit Status Fr=y To <br /> 003 TAIV6603 0060 4,400 Diesel 01 Active Permit 01if}ifr. i2/3i7:, <br /> PERMIT CONDITIONS; <br /> l) The PERMIT TO OPERATE will become void if ANMA PERMIT Fees and SERVICE Fees are not paid andlor the UST system(s) fails <br /> to main in compliance with: the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TANS OCR who accepts responsibility for aerating and monitoring the EYST system <br /> according to State underground storage tank laws and regulations as well as any conditions established by San Joaquin County. <br /> 3) The TANK OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING AGREEMENT rewired ter Suction 25293, Chapter 6.7, Division 20, California Health and Safety Code. <br /> 4) Thc- TAS OWNER shall notify the Environmental Health Division of any proposed change in aeration or ownership of the UST <br /> system. <br /> 5) Upon any change in equipment, design or operation of this facility, the PERMIT TO OPERATE will be reviewed by the <br /> Environmental Health Division. <br /> 5) A construction or removal permit is rewired 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 /> PERMIT TO OPERATE ar, UST FACILITY issued to, PACIFIC: BELL ENVIRONMENTAL MC'T <br /> Pews BOX 15�:�38/3524 MARC:ONI ,FSM B <br /> SACRAMENTO, CA 9S8SI <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> "MIS FURM MST BE DISPL.A IG. LY ON TW PF&MISES <br /> REfiULATED FACILITY; PACIFIC BELL Accent ID: 0003569 <br /> 124 W ELM Facility ID, 003957 <br /> LODI , CA 95240 Permit Printed: 05/02/96 <br /> BILLING ADDRESSt, <br /> PACIFIC BELL <br /> ATTN; PERMIT DESK <br /> PO BOx 601883 <br /> SACRAMENTO, CA 9SS60--1$83 <br />