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ISSUED: <br />Apn i <br />Permit issued to: <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />W. LOLJIIS-ic <br />Ffl -N T . x _ <br />EAVIRONMENTAL HEAL* POST ON PREMISE <br />EXPIRES: PERMIT NO.,_ 3^j} <br />SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br />ENVIRONMENTAL HEALTH DIVISION <br />1601 E. HAZELTON AVE. • PHONE 468-3420 <br />P.O. BOX 2009 • STOCKTON, CA 95201 <br />OPERATING PERMIT FOR UNDERGROUND <br />ATnRACZF TANK FACILITY <br />TANK OWNER L,-,-.-,, <br />I ? 'snl i_;il int .Ft' <br />�>la:1iT�.i•� i..j�'% :-��.��.ii� <br />i4 :,t?5.�:�'s�. <br />t <br />NUMBER OF TANKS <br />i,:nk <br />i escr3pr,ion <br />Pr_=+lucr. <br />:apac1fiy LC'm =State -s <br />fel01 <br />TANKS <br />Motor Vehicle <br />FLiel 10,��f,�i <br />TL'{fWK•:t <br />t1c-torVehicle ie <br />Fuel 10, 000 <br />000: <br />Tfl#SKS <br />M -:'tor . Vah i c 1 e <br />"Fu --1 10,00". 02 <br />CONDITIONS <br />This permit expires on December 31, of the current year. Inspection fee will be billed annually. <br />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 />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 />Tank owner shall notify the Environmental Health Division of any proposed change in operator or ownership <br />of tank system. <br />Upon a significant change in design or operation of this facility, permit will be reviewed by the <br />Environmental Health Division. <br />This permit cannot be considered as permission to violate existing laws, ordinances, regulations or statutes <br />of other governmental agencies. <br />hi'_ is a conditional permit subject to suspension or r+!voka.t.ion for fai lure to correct <br />I~ �' 1 s S <br />the vicilat•3ons bly t•it}? corFtpliailce date -(s) noted or, the host rt:.'i enit. f :�I.3_3i fac t. ;finspection report. <br />Jogi Khanna, M.D., MPH <br />Health Officer NON-TRANSFERRABLE <br />THIS PERMIT MAY BE SUSPENDED OR REVOKED FOR CAUSE <br />Mlalinoti, REHS, Director <br />onmental Health Division <br />