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a <br />ICA Cert. No. 02053 <br />An upgrade compliance certificate <br />has been issued in connection with <br />the operating permit for the <br />facility indicated below. The <br />certificate number on this facsimile <br />matches the number on the <br />certificate displayed at the facility. <br />Instructions to the issuing agency: Use the space below to enter the following information in the fort of <br />your choice: name of owner; name of operator; name of facility; street address, city, and zip code of famacility; <br />facility identification number (from Form A); name of issuing agency; and date of issue. Other identifying <br />information may be added as deemed necessary by the local agency. <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DIVISION <br />TANK OWNER: <br />TANK OPERATOR: <br />FACILITY NAME: <br />FACILITY ADDRESS: <br />FACILITY ID # <br />ISSUE DATE: <br />f. <br />MADSEN, ROBERT & CAROL <br />MADSEN, ROBERT <br />MADSEN'S SUNRISE DAIRY <br />239 S STOCKTON ST, <br />RIPON 95366 <br />2;1482 <br />11/10/98 <br />