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SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> P O Box 388 • SrocicroN, CA 95201-0388 • PnoNE (209) 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA HERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> a TIb* FERMIIT FitIXIND STYE TAW FACILITY <br /> Ta n&: Tank. Permit Annual Permit Fee Valid <br /> HE tkaber Record ID Ntm r Canacity Contents Permit Status From To <br /> 2360 ON TA184904 0(146 1 60,00ci 01 Active Permit 01/01/95 12131/55 <br /> 2360 (105 TA184905 004633 10,000 UnleadFd 01 Active Permit 01/01/95 12/31/955 <br /> 2360 006 TA184906 004634 75,000 Unleaded 01 Active Permit 01/01/9S 12131/95 <br /> PERMIT CONDITIONS ; <br /> 1) <br /> The PEM11T TO OPERATE will become void if ANXIAL PERMIT Fees and SERVICE Fees are not paid and/or the UST system(s) fails <br /> to remain in, compliance with the PERMIT CONDITIONS, <br /> 2) The PERMIT TO OPERATE is granted to the TANK. ii€NER who accepts responsibility for operating and monitorirr3 the UST system <br /> according to State underground storage tank. laws and regulations as well as any conditions. established by San Joacpjin County. <br /> 3) T'e TAM( OPERATOR(S), if different from the tank owner, shall operate and monitor the 1j'ST system according to the AITTEN <br /> OPERATING AGREEMENT required under Section 25293. Chapter 6.7, Division 20, California Health and Safety Code. <br /> 4) The TAM( OKR shall notify thea Environmental Health Division of any Proposed chance in operation or ownership of the lr <br /> system. <br /> 5) Upon any change in equipment, design c•r 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 /> change of UST system equipment. <br /> 7) This PERMIT TO OPERATE shall not be considered permission to violate any eristlN. laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an UST FACILITY issued to. -,AN JOAQUIN CO MOSQUITO ABATEM <br /> 200 N BECt::MAN RD <br /> LODI , CA 9-5240 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause . <br /> } 41 F #. # <br /> THIS FtQM K)ST BE DISPLAYED C04SPICUOUSLY C04 T14E PREMISES <br /> # <br /> RETiATED FACILITY; SAN JOAQUIN CO MOSQUITO ABATEM Accamt 110; 0003341 <br /> 200 N BECKMAN RD Facility iD: 0O3?EZ <br /> LODI , CA 9S240 Permit Printed; 0;=/111 S <br /> 8ii_LING ADDRESS; <br /> ;.:AN JOAt;)UIN CO MO-- UT ABATEM <br /> ATTN : '_AN .TOA( UIN CO MOSQUITO ABATEM <br /> SS03 S AIRPORT WAY <br /> STOCKTON , CA 9S206 / <br />