Laserfiche WebLink
SAN J04WJIN COUNTY PUBLIC HEALTH�RVICES <br /> P O Box 388 STocKToN, CA 95201-0388 • PRO 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 /> TING PERMIT FOR LOI)ER6ROUND STORAGE TAW FACILITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> PfE ter Record ID iffier Capacity Contents Permit. Status Frsfa To <br /> `2350 003 TA18 )3 006539 4,000 Unleaded 01 Active Permit 01!01195 12131/95 <br /> a <br /> 3 <br /> PERMIT CONDITIONS: <br /> 1) The PERMIT TO OPERATE will become void if Al+iM PERMIT Fees and SERVICE Fees are riot Paid andfor the UST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TAP OWO who accepts responsibility for operating and wanitfring the UST system <br /> according to State underground storage tank laws and regulations as well as any conditions established by San Joaquin County. <br /> The TAW OPERATOR(S), if different from the tatk owner, shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING AGREEMENT required utter Section 25293, Chapter 6.7, Division 20, California Health and Safety Code. <br /> The TAW OWNER shall notify the Environmental Health Division of any proposed change in _operation or ownership of the LIST <br /> system. <br /> =) Upon any change in equipment, design or gyration of this facility, the PERMIT T�� f�RtR►E will be revieved by the j <br /> Environmental Health Division. <br /> _) A construction or removal permit is required from the Environmental Health Division prior to any removal or <br /> change of UST system equipment. <br /> ') This PERMIT TO OPERATE shall not be considered permission to violate any existing laws, ordinances oT statutes of other <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an UST FACILITv issued to: PACIFIC BELL ENV I RONMENTA! MGT <br /> PO BOX 15038/2646 WATT AVE #4 <br /> SACRAMENTO, CA 958S41 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> THIS FORM MUST BE DISPLAYED CUNSPICUOUSLY ON THE PREMISES <br /> REWTED FACILITY: PACIFIC BELL Account ID: sj003569 <br /> 124 W ELM Facility ID: !iiia:";9S7 <br /> LODI , CA 95'2240 PermitPrinted: 08/11I96 <br /> 0ILLINit SSS: <br /> PACIFIC. BELL <br /> ATTN: PERMIT DESK <br /> PES BOX 1.15038/2646 WATT AVE #4 <br /> SACRAMENTO, CA 958S 1 <br /> s , <br />