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f SAN JOA& COUNTY PUBLIC HEALTH VICES <br /> P O BOX 388 &� STOCKTON, CA 95201-0385 • PHONE 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 /> ERATING FERHIT FOR S;Tt x " FACILITY <br /> Tan* Tank: Permit <br /> P/E Nurser _Record ID4umber Capacity Content. { Annual Permit Fee Valid <br /> Z-0 401 TA116201 4 r4:,/ti 3 _ Permit S atus Frcau To <br /> SU Diesel U1 Active Permit 01!01/97 i2t31/97 <br /> PERMIT CONDITIONS; <br /> ii The PERMIT TO OPEE lATE will become void if ANVUAL PERMIT Fees and SERVICE Fees are root Paid and/or the UST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted its the TW.' OWER 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 /> 31 The TAW OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING AGREEMENT required under Secti n 26293, Chapter 6.7, Division 24, California Health and Safety Code. <br /> d) The TANK OWER shall notify the Enviporeental Health Division of any prorosed change in operation or ownership of the UST <br /> system. <br /> 6) Upon any change in equipment., design or operation of ttis facility, the PERMIT TO OPERATE will he reviewed by the <br /> Environmental Health Division. <br /> 6) p construction of <br /> or reii,equiyal permit is required frr_Im the Environmental Health Division prior t.n any removal or <br /> change of U"aT 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, PLYMOUTH SQUARE <br /> 1=:19 N MADISON' <br /> Sf rCs TCN, CA 95202 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENT'=; are NOT TRANSFERABLE <br /> and pray be SUSPENDED or REVOKED for cause . <br /> # 1F # # t <br /> THHI:E,; *U" MN.ks';T BE BISPLAYM �� 'FC �'4 a' ON -RF >PiRE"I ES; <br /> A #: k: <br /> REGULATED FArILITY; <br /> 1319 N MADISON Acccnt ID. M03307Facility iD: 003728 <br /> TOCk'TON, GA _b2U2 Permit Printed; 43128/97 <br /> BILLI% ADDRESS, PLYMOUTH SQUARE <br /> ATTN ; ERNESTO GUZMAN <br /> 1 :19 N MADISON <br /> TOC:KTC rN, CA 952;) <br />