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1 16 <br /> CA Cert. No. 0203 <br /> An upgrade compliance certificate <br /> undergmiund Storagehas been issued in connection with <br /> UPGRADE COMPLIANCE CE"FICATE the operating permit for the <br /> facility indicated below. The <br /> "- ' certificate number on this facsimile <br /> Safety Secffoa matches the number on the <br /> L--certificate displayed at the facility. <br /> Instructions to the issuing agency: Use the space below to enter the following information in the format of <br /> your choice: name of owner; name of operator; name of facility; street address, city, and zip code of facility; <br /> facility identification number(from Form A); name of issuing agency; and date of issue. Other identifying <br /> information may be added as deemed necessary by the local agency. <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DIVISION <br /> TANK OWNER: MADSEN, ROBERT& CAROL <br /> TANK OPERATOR: MADSEN, ROBERT <br /> FACILITY NAME: MADSEN'S SUNRISE DAIRY <br /> FACILITY ADDRESS: 239 S STOCKTON ST, <br /> RIPON 95366 <br /> FACILITY ID 4: 231482 <br /> ISSUE DATE: 11/10/98 <br /> L . , , <br />