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SAN JOA!� COUNTY PUBLIC HEALTH&VICES <br /> P O Box 388 STOCxTON, CA 95201-0388 • Pao 09) 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> OPEPATING PEF"IIT FER !NDEPGRN3 NMD ST_�i E T. i f* E'LTY <br /> Tart; Tank PermitAnnual Permit Fee Valid <br /> PIE Number Record ID Number Capacity Contents Permit Status From To <br /> 2330 00i 1A115201 004375 3150 01 Active Permit 01/OIijS 12131.795 <br /> i� <br /> PERMIT CONDITIONS ; <br /> I) The PERMIT TD OPERATE will becope void if ANNUAL PERMIT Fees and SERVICE Fees are not paid and/or the UST system(s) fails <br /> to remain in ccrspliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TANK. OWNER who accepts responsibility for operating and monitoring the UST systen <br /> according to State underground storage tank laws and regulations as well as any conditions established by San Joaquin County. <br /> J The TANK OPERATOR(S), if different from the tart, owner, shall operate and monitor tt,e MT system accordirg to the WRITTEN <br /> OPERATING AGREEMENT recyjired under Section 25253, Chapter E.7, Division 20, California Health and Safety Code. <br /> 4) The TANK OWNER shall notify Vie Environmental Health Division of any proposed change in operation -or ownership of the UST <br /> system. <br /> 5) Upon any change in equipment., design or operation of this facility, the PERMIT TO OPERATE will be reviewed by the <br /> Environmental Health Division. <br /> 5) 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 stall 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; PLY.MOLITH SQUARE <br /> 1319 N MADISON <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENT; are NOT TRANSFERABL.r <br /> and may be SUSPENDED or REVOKED for cause . <br /> # # 41 ++ # <br /> MUS a <br /> THIS FST BE DlZaFX e;,YED CL `Y i-ICULXiSLY ON THE PREMISES <br /> RE611ATED FACILITY: PLYN'iOUTH SQUARE Account. ID: 00u- +3+?7 <br /> 1319 N MADISON Facility ID; 0037=3 <br /> STOCKTON, CA 952,t}2, Permit Printed! 08111!9.5 <br /> BILLING AMR•ESS; <br /> PLYMIDUTH SQUARE <br /> ATW DELMAR Bt LTi IN <br /> 1319 N MADISON <br /> STOCKTi N , CA 'DS202 <br />