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SAN JO UIN COUNTY PUBLIC HEAL RVICES <br /> P O Box 38� STOCKTON, CA 95201-0388 • PHo - (209) 468-3420 <br /> ERNEST M. FUIIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> STING PERMIT FOR UNDERGRal1 M STS TAW FACILITY <br /> Tank Tank Permit Annual Permit Pee Valid <br /> P/E Number Record 1D Number Capacity Contents Permit Status From To <br /> 2380 001 TA130901 004555 12,000 Unleaded 01 Active Permit 01/01/96 12/31/95 <br /> 2380 02 TA130902 04557 12100 Unleaded 01 Active Permit 01/01/% 12/31/96 <br />` 2r'Q0 03 TA13Or303 04555 41000 Unleaded 01 Active Permit 01/01/95 12/31/95 <br /> PERMIT GOND I T I ONS: <br /> 11) The PERMIT TO OPERATE will become void if ANNUS. PERMIT Pees and SERVICE Fees are not raid and/or the UST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIOtNS. <br /> ` 2) The PERMIT TO OPERATE is granted to the TAM( OAR 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 TANK OPERATORS), if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING AGREMT required under Section 25293, Chapter 5.7, Division 20, California Health and Safety Code. <br /> ) The TANK OWNER shall notify the Environmental Health Division of any Proposed change in operation or ownership of the UST <br /> system. <br /> 5) Upon any change in equipment, design or operation of this facility, the PERMIT TD OPERATE will be 'reviewed by the <br /> Environmental Health Division. <br /> 5) A construction or rerval. permit is required from the Environmental Health Division prior to any removal or <br /> change of UST systw4ipment. <br /> 7) This PERMIT TO OPERATE shall not be considered permission to violate any existing laws, ordinances or statute4 of other <br /> federal, state or local agencies. <br /> ,.;P MIT-TO Oif lTE:am MS'T AGILITY issued to: ic,I SH I DA, GEO=RGE INC. <br /> 1725 ACKERMAN DR <br /> L ODI , CA 9S:240 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SU5PENDED or REVOKED for cause <br /> e <br /> THI'S FORM MIST 8E DISPLAYED C04SP'IC.WJSLY ON THE PREMISES <br />" REGULATED FACILITY: K I SH I DA, GEORGE INC Account ID; 000333S <br /> 1725 ACK:ERMAN DR Facility IN 0037SG <br /> LODI , CA 95240 Permit Printed= 0S/02/96, <br /> BILLING ADDRESS: <br /> F ICAHIDA, GEORGE INC <br /> ATTN; KISHIDA, GEORGE INC <br /> 172S ACK:ERMAN DR , <br /> LOD I , CA 9S24 <br />