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ISSUED: <br />Permit issued to: <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />L41VIRONMENTAL HEAR <br />PERMIT <br />EXPIRES: <br />id it 0. <br />IL 1 ^DDE. <br />lriRKtl'�i iiAh;F:c !P•;i; CGi`l�khdY <br />.!_I. BOX "S ", <br />.'T:Pr-. r• y:4 7 <br />,,. SDI r 2 1. <br />CONDITIONS <br />POST ON PREMISE <br />N0. <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 />STORAGE TANK FACILITY <br />TANK OWNER HWKNEN PikKKiz,i <br />4150 LATHAM <br />RIVERSIDE CA <br />NUMBER OF TANKS ? <br />Ta:: Gescrlpt..r.m Product. <br />ti001 TANKS----- Motor Vehicle Fuel <br />0002 TANK Motor Vehicle Fuel <br />TAM*.S Motor Vehicle Fuel <br />apacity LGM Status <br />3,000, 5 <br />U,000 5 U <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 />Jogi Khanna, M.D., MPH <br />Health Officer NON-TRANSFERRABLE <br />THIS PERMIT MAY BE SUSPENDED OR REVOKED FOR CAUSE <br />Ron V �ti, REHS, Director <br />Envir&ntal Health Division <br />