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ENVIRONMENTAL HEALTH POSTON PREMISE <br /> ISSUED: EXPIRES: PERMIT NO. <br /> ,. CPw- 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 /> OPERATING PERMIT FOR UNDERGROUND <br /> 5t.atu STORAGE TANK FACILITY <br /> ROBERT a 61RE ELLISUN <br /> =.585 PARADI:3= DRIVE TANK OWNER y.5d5 FAR <br /> mi- <br /> NUMBER OF TANKS of <br /> Tank Description Product I_u1 :3tatus <br /> ---- ----------- ------------------ --------- --- ------ <br /> 00ol TANKS Motor Vehicle Fuel 31000 5 02 <br /> CONDITIONS <br /> one 0 .) year <br /> 1. This permit expires in'Nve J3yjfiA 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 /> ,hi 1L subject t0 suspension Or revokatiotl for failure to correct <br /> the uy *,rie corcpliance date(s) noted on the most recent. UGST facility <br /> _nspection report I1 <br /> 1 <br /> 1 <br /> I <br /> i <br /> I <br /> District Health Officer Director of Environmental Health <br /> THIS PERMIT MAY BE SUSPENTiL-eOR REVOKED FOR CAUSE , <br />