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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> P O Box 388 • S OCKTON, CA 95201-0388 • PHONE (209) 468-3420 <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 /> OPERATING SIT ELR UNEIERGROUND STORAGE TAW FACILITY <br /> Tank Tank Permit Annual Permit Fee valid <br /> PIE number Record ID Number Capacity Contents Permit Status From To <br /> 2,%0 444 TA194904 004632 60,000 01 Active Permit 01/01/% 12/31/96 <br /> M. 405 TA184905 04633 10,000 Unleaded 4i Active Permit 011011% 12/31/96 <br /> 2,160 006 TA184906 004634 75,(x0 Unleaded 01 Active Permit 01/01/96 12/31/96 <br /> PERMIT CONDITIONS: <br /> I) The PERMIT TO OPERATE will become void if 01VAL PERMIT Fees and SERVICE Fees are not paid -end/or the UST system(s) fails <br /> to remain in compliance with the PERMIT COtiTLONS. <br /> 2) The PERMIT TG OPERATE is granted to the TAW; 'OAR who accepts responsibility for operating and monitoring the UST system <br /> according to State underground storage tank lams 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 UST 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 Health 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 PERMIT TO OPERATE will be reviewed by the <br /> Environmental Health Division. <br /> 6) A construction or removal permit is required from the Environmental Health Division prior to any removal or <br /> chance of UST system equipment. <br /> 1) This PERMIT TO OPERATE shall notto considered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an +.VT FACILITY issued to; SAN JOAQUIN CO MOSQUITO ABATEM <br /> 200 N BECKMAN RD <br /> LODI , CA 95240 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause . <br /> :�. # # k <br /> THIS FORM T BE DISP AYEt) CiRCPICUOUSLY ON THE PREMISES <br /> REGULATED FACILITY; SJ CO MOSQUITO & VECTOR CTRL Account ID: 0003341 <br /> 200 N BECKMAN RD Facility ID: 003762 <br /> LODI , CA 95240 Permit Printed; 0.5/02/96 <br /> BILLING ADDRESS; <br /> SJ CO MOSoVITO & VECTOR CTRL <br /> ATTN, SAN JOAQUIN CO MOSQUITO AGATEM <br /> 7759 S AIRPORT WY <br /> STOCKTON, CA 9S20G. <br />