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ENVIRONMENTAL HEALTH POST ON PREMISE <br /> ISSUED: EXPIRES: PERMIT NO. <br /> tiu•�uSL 23, 1959 December 31 , 19t'' <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> Permit issued to: 1601 E. HAZELTON AVE. • PHONE 466.6781 <br /> ='OFT OF STOCKTON FOOD DIST INC: P.O. BOX 2009 • STOCKTON, CA 95201 <br /> 2001 E. FREMONT ST. <br /> STOCKTON CA 952(15 OPERATING PERMIT FOR UNDERGROUND <br /> Status: 01 STORAGE TANK FACILITY <br /> PORT OF STOCKTON FOOD DIST INC: r i i U'r _Tt:^._Kl_il F 1 <br /> P.O. BOX 30 TANK OWNER C D!--i INC <br /> P.O. BOX 3,01 <br /> STOCKTON CA 952Ct5 STOCKTON CA 95201 <br /> NUMBER OF TANKS Oi <br /> Tank Description t::ipacity LOM Status <br /> ---- ----------- ------------------ <br /> -------- --- ------ <br /> 0001 TANKS Motor 'Vehicle Fuel 1,000 7 01 <br /> CONDITIONS <br /> ane (1 } year <br /> 1. This permit expires in );yPi41g and is renewable thereafter. Inspection fee will be billed annually. <br /> 2. 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 /> 3. 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 /> 4. Tank owner shall notify the Environmental Health Division of any proposed change in operator or ownership <br /> of tank system. <br /> 5. Upon a significant change in design or operation of this facility, permit will be reviewed by the <br /> Environmental Health Division. <br /> 6. This permit cannot be considered as permission to violate existing laws, ordinances, regulations or statutes <br /> of other governmental agencies. <br /> District Health Officer Director of Environmental Health <br /> THIS PERMIT MAY BE SUSPENDElYOR REVOKED FOR CAUSE -" <br /> racliii.•r 100.00 <br /> Sontainer _Numbet , _4vU1,_ <br /> TOTAL FEES DUE $150.00 <br /> 'epi;Lv. <br /> 7G'tt x t't€a ni .i :a:�i;_ri LaCa <br /> Ht?aith'District Of any <br /> corhections or changes <br /> necessary . Your permit will <br /> be failed upon receipt. of <br /> Payment and approval of <br /> facility. <br /> Return Payment along with one <br /> Copy of this statement to: <br /> ENYIRONMENTAL HEALTH PERMIT/SERVICES r4 <br /> F`' 0. BOX 2009 <br /> STOCKTON, CA 95201 <br /> Penalties will be added after <br /> due date as shown; 'f <br /> 30 days - ;lI00% of Base Fee � { <br /> r <br /> JA <br /> 7 <br />