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i <br /> SAN JOA&JIN COUNTY PUBLIC HEALTH MVICES <br /> `` <br /> P O Box 388 F STOCKTON, CA 95201-0388 • PRO 09) 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 /> OPMATINGIT FOR tWERGROCM STORAGE TAW FACILITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> P/E {fiber Record ID lir acity Contents Permit Stag From To <br /> 2380 001 TA130%1 0046% 12,000 Unleaded 01 Active Permit 01/01/97 12/31/97 <br /> 2350 0021 TA130902 004657 12,000 Unleaded 01 Active Permit. 01/01/97 12/31/97 <br /> 2380 003 TA130903 004658 41Unleaded 01 Active Permit 01/01197 12/31/97 <br /> PERMIT CONDITIONS: <br /> `1) The PETIT TO OPERATE will become void if AMR PERMIT Fees and SMICE Fees are not paid and/or the LIST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TAW OWNER who accepts responsibility for operating and monitoring the UST system <br /> according to State underground storage tank laws and regulations as well as any conditions established by San Joaquin County. <br /> 3) The TAW OPERATOR(S), if different from the tank owner, shall aerate and monitor the UST system according to the WRITTEN <br /> OPERATING AGREEMENT required under Section 25293, Chapter 6.7, Division 20, California Health and Safety Code. <br /> 4) The TAW NNER shall notify the Environmental Health Division of any proposed change in operation or ownership of the 6.T <br /> system. <br /> 5) Upon any change in equipment, design or aeration of this facility, the PERMIT TO OPERATE will to reviewed by the <br /> Environmental Health Division. <br /> 6) A construction or removal permit is required 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 an UST FACILITY issued to: K I SH I DA, GEORGE INC: <br /> 1725 ACKERMANV OR <br /> LODI , CA 96240 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE: <br /> and may be SUSPENDED or REVOKED for cause . <br /> "PIIS FORM MSc` BE DISPLAYM OMWICWJSLY ON TME PREMISES <br /> REGULATED FACILITY K I SH I DA, GEORGE INC. _ Account ID: 0003335 i <br /> `2S -OR Facility ID: 003756 <br /> t ob I , CA 95240 Permit Printed., 03/28/97 <br /> BILLING ADDRESS t K I'SH I DA, GEORGE INC <br /> 1725 AC:KERMANV DR <br /> LODI , CA 96240 <br />