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ENVIRONMENTAL HEALTH POSTON PREMISE <br /> ISSUED: EXPIRES: PERMIT NO. <br /> August 28, 198'--n 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 /> i',.:Ii.AYSEN FARM" <br /> 23073 FREDERICK: RL <br /> RIPON CA 95366 OPERATING PERMIT FOR UNDERGROUND <br /> Status; 02 STORAGE TANK FACILITY <br /> NICOLAYSEN FARM TANK OWNER =J14 a ni OLAYE;EN <br /> 23073 FREDERIC.'K: RD 23073 FREDERICK; <br /> RIPON CA 95366 RIPON CA 9.5356 <br /> NUMBER OF TANKS 02 <br /> Tank Desc:'i-tiGft riCCiLDM Status <br /> ---- ----------- ------------------ -------- --- ------ <br /> 0001 TANKS (Motor Vehicle Fuel 10,000 0S +i2 <br /> 0002 01NK:S Motor 'Vehicle Fuel 6.500 05 02 <br /> CONDITIONS <br /> 1. This permit expires in fi)vb-(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 /> vey"Wit sui,,jec t. to suspei (bpi orY'e'VC+k atl Gri for failure t0 correct <br /> the violations by the cotrpliance date(s) noted on the fno=_t. recent IJGST facility <br /> inspcction report. <br /> District Health Officer Director of Environmental Health <br /> THIS PERMIT MAY BE SUSPENDEtlOR REVOKED FOR CAUSE v <br />