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+ SAN JO A nUIN COUNTY PUBLIC HEALTH*ONE <br /> 304 E.WEBER AVE. 'HIRD FLOOR • STOCKTON,CA 95202 • PFIONE(209)468-3420 <br /> KAREN FURST, M.D.,M.P.H., HEALTH OFFICER <br /> DONNA HERAN,R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> L-FIEPATING IF IIT FCR l PfE�1I ,10 STURNAGE TAt&,,. FACILITY <br /> Tank: Tank Permit Annual Permit Fee Valid <br /> P/E lumber Record ID Number Capacity Contents P-rmit Sti+us From. To <br /> 2380 001 TA226701 004675 10,000 Diesel 01 Active Permit 01/01/98 12 '3i <br /> / !9S <br /> TNq 002 TA226702 0'14677 12,000 Diesel 01 Active Permit 01/01193 12/31/98 <br /> PERMIT CONDITIONS : <br /> 1) The PERMIT TO OPERATE will become void if AtBdX PERMIT Fees and SSERVICE Fees are not paid and/or the LISTsystem(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO ITERATE is granted to the TAW OWNER who accepts responsibility for operating and monitoring the UST system <br /> according to State underground storage tank laws 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 LIST system according to the WRITTEN <br /> OPERATING AGREEMENT required under Section 25293, Chapter 6.7, Division 20, California Health and Safety Code. <br /> 4) Tire TAW OWNER shall notify the Errvironmcrital Health Division of any proposed change in operation or ownership of the LINT <br /> system. <br /> 6) *,T, any charge in equipment., design or opetat.ion of this facility, the PERMIT TO OPERATE will be reviewed by the <br /> Environmental Health Division. \ <br /> 6) A construction or remoival permit is required from the Environmental Health Division prior to any removal or <br /> change of LIST system equipment. <br /> 7) This PERMIT TO OPERATE shall not be considered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an UST FACILITY issued to; TAYLOR, ARNP <br /> 330 E N:ETTLEMAN <br /> LODI , CAP 9540 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and n,a.y be SUSPENDED Cr REVOKED for cause . <br /> THIS: Fg T BE DISPLAYED CONWICUOUSLY ON THE PREMISS <br /> REGULATED FACILITY; TAYLOR TOURS Account ID; 0003347 <br /> 330 E KETTLEMAN Facility ID; 0037ESS <br /> Li OI , CA -5-440 Permit Printed, 03/02/98 <br /> BILLING ADDRESS; TAYLOR TOURS <br /> 330 E KETTLEMAN <br /> LODI , CA 'SIS 40 � <br />