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SAN J04SM COUNTY PUBLIC HEALTHI&RVICES <br /> P O Box 388 STOCKTON, CA 95201-0388 • Pao 209) 465-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> I-PERATIN6 PiERM1T FOR 040E-1a23RIALJND STORAGE TAFACILITY <br /> Tank Tank Permit. Annual Permit Fee Valid <br /> Pic Number Record IO _ Numter Capacity Contents Permit Status From To <br /> 2-30001 TA132501 006790 10,000 Unleaded 01 Active Permit 01/01/95 12/31/55 <br /> 23'a) 003 TA1-2503 007461 10,000 Unleaded 01 Active Permit 01/01/55 12/31/95 <br /> 238D 002 TA132502 007462 10jMO Unleaded 01 Active Permit 01/01/95 12/31/95 <br /> PERMIT CONDITIONS: <br /> 1? The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and 5ER'JICE Fees are not paid and/or the UST s',+stem(s3 fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TANK OWNER who accepts responsibility for operating and monitoring the UST system. <br /> according to State underground storage tank laws and regulations as well as any conditions established by San Joaquin County. <br /> 3) The TANK OPERATOR(S), if different from the tank owner, shall operate and monitor the U"T system according to the WRITTEN <br /> OPERATING AGREEMENT required under Section 25293, Chapter 6.7, Division 20, California health and Safety Code. <br /> 4) The TANK OWNER shall notify the Environmental Fkalth Division of any proposed change In operation or ownership of the UST <br /> system. <br /> 5) Upon any change in equipment, design or operation of this facility, the PENT TO OPERATE will be reviewed by the <br /> Environmental Health Division. <br /> 6) A construction or removal permit is required from the Erviroryaental health Division prior to any removai or <br /> charge of UST system equipment. <br /> 7i This PERMIT TO OPERATE shall not he considered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an UST FACILITY issued to; DANCER, BONNIE <br /> 4:30 VALLEY DR <br /> PERMIT=: TO OPERATE and ANNUAL PERMIT FEE PAYMENT'S are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause . <br /> THIS F rkrST DE DISPLAYED C£lNSPICtNLkit_Y ON THE PREMISES <br /> K <br /> REGULATED FACILITY: PL.AZA L_IQUORS Account iD, C'00316.26 <br /> 800 CHEROKEE L_N Facility IO: 003997 <br /> L_ODI , CA 9S240 Permit Printed: 08/11/95 <br /> RILLI6 ADDRESS: <br /> PLAZA LIQUOR:_: <br /> ATTN : DANCER, BONNIE <br /> 4_.O VALLEY DR <br /> LODI , CA 9240 <br /> 0 <br />