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www* x <br /> E RON M ENTAL HEA POST orvPREnnISE � <br /> JgSC1D; EXPIRES: <br /> PERMIT N0. <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> • 1601 E. HAZELTON AVE. • PHONE 466-6781 <br /> Permit issued !ouF{i`IF P.O. BOX 2009 • STOCKTON, CA 95201 <br /> -NCK1403 CtjUNTRY` CLUB <br /> STOCKTON CA 95204 <br /> OPERATING PERMIT FOR UNDERGROUND _ <br /> >1 <br /> Status: 02 STORAGE TANK FACILITY <br /> STATION OPERATOR'S INC. MOBIL OIL COW. <br /> iW. <br /> 140: COUNTRY CLIC TANK OWNER R, 0. BOX 1,239 <br /> _:TT4-X►I_IN CA 95204 VALLEY FORGE PA 19482 <br /> NUMBER OF TANKS <br /> Tank: Description Product Capacity LOM Status <br /> t:t0��1 TANI' . ______ Unleaded � 10,000 5Y 15�_ <br /> 0002 TANKS Unleaded 10,000 c 1. <br /> 0003 TANKS Unleaded 10,000 5 i.s <br /> S <br /> r� <br /> CONDITIONS one 1 wear <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 /> .Jogi Khanna: M.D. ! MPH Ronald Valinot.i , R.S. <br /> District Health Officer Directorof Environmental Health <br /> THIS PERMIT MAY BE SUSPENDSLR REVOKED FOR CAUSE <br />