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EIS-JIRONMENTAL HEAL -H POST ON PREMISE <br /> ISSUED: EXPIRES: PERMIT NO. <br /> August 28, 19;_' SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. • PHONE 466.6781 <br /> Permit Issued to: P.O. BOX 2009 • STOCKTON, CA 95201 <br /> C-IRC:LE K #1205 <br /> 16470 CAMBRIDGE <br /> LATHROP CA �t&530 OPERATING PERMIT FOR UNDERGROUND <br /> Sta,u51 0' STORAGE TANK FACILITY <br /> CIRCLE K #12015 TANK OWNER <br /> 16470 CAMBRIDGE 4500 S. 40TH STREET <br /> LATHROP CA 95330 PHOENIX AZ 85040 <br /> NUMBER OF TANKS 0:3 <br /> Tani: Description Product. Capacity LDM Status <br /> ---- ----------- ------------------- -------- --- ------ <br /> 0001 TANKS Motor Vehicle Fuel 101000 5 02 <br /> 0002 TANKS Motor Vehicle Furl 10,000 5 02 <br /> 000:3 TANKS Motor Vehicle Fuel 4.000 5 tj2 <br /> CONDITIONS <br /> ane ; I , vea,.:.. <br /> 1. This permit expires in ,five=(5) years 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 /> `;'mit subject. to Suspension or revokatiCin for failure to <br /> the violations by the cornpiiance date(s) noted on the roost recent UGST facility <br /> inspection report. <br /> District Health Officer Director of Environmental Health <br /> THIS PERMIT MAY BE SUSPENDED OR REVOKED FOR CAUSE <br />