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ENVIRONMENTAL HEALTH POST ON PREMISE <br /> ISSUED: EXPIRES: PERMIT NO. <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Permit Issued to: 1601 E. HAZELTON AVE. • PHONE 468-3420 <br /> P.O. BOX 2009 • STOCKTON,CA 95201 <br /> _ BERTY RURAL F <br /> 24124 N. DWEL_ OPERATING PERMIT FOR UNDERGROUND <br /> AC:AMP0 CA 952'.— <br /> STORAGE TANK FACILITY <br /> status; 01 1 No. _ <br /> TANK OWNER <br /> LIBERTY RURAL FIRE DIS. <br /> 24124 N. BRUELLA RD. <br /> ACAMPO CA 952201 <br /> NUMBER OF TANKS <br /> .alk: Description i`f cO cr <br /> 0003 TANKS ----- Motor Vehici_ Fuel <br /> 0004 TAWS M ,I._r -fi?L1_ l.±t <br /> CONDITIONS <br /> 1. This permit expires on December 31, of the current year. 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 /> Jogi Khanna, M.D., MPH Ron"^'inoti, REHS, Director <br /> Health Officer NON-TRANSFERRABLE Env rental Health Division <br /> THIS PERMIT MAY BE SUSPENDED OR REVOKED FOR CAUSE <br />