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ENSRON M ENTAL HEAL POST ON PREMISE <br /> ISSUED: _ _ EXPIRES: PERMIT NO. <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. • PHONE 466-6781 <br /> Permit issued to: TION ##494 P.O. BOX 2009 • STOCKTON, CA 95201 <br /> TlICKTON A --'Z <br /> OPERATING PERMIT FOR UNDERGROUND <br /> STORAGE TANK FACILITY <br /> `� `� W� THIRD STREET TANK OWNER :;tits MONT.i;OMERY ::i, ��TE 1'-jl <br /> HANi=OF0 CA _.AN FKAM-i;:;C 1 CA 944104' <br /> (Y- <br /> NUMBER OF TANKS <br /> Tali.: Description P} ci du _�t atu5 <br /> il(-)til T ,ry ::::; ;t„guiar its,(100 = (-I <br /> i 1t_022 (t`NK Si Un I eaded i 0; )t-)t_) L {);' <br /> Premium i 0.000 <br /> CONDITIONS <br /> („'�' <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 /> District Health Officer Director of Environmental Health <br /> THIS PERMIT MAY BE SUSPENDLO OR REVOKED FOR CAUSE <br />