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SAN JO*n N COUNTY PUBLIC HEALTH VICES <br /> P O BOX 388 • STOCKTON, CA 95201-0388 • pHp 209) 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 /> ENVMONMENTAL HEALTH <br /> L Ih "E.gNIT FL l 4iCwh'tilN "ti71�w T `dt. t € IL..TTY <br /> Tank Tank Permit <br /> P!E Number Record 10 Number Capacity Contents Permit kta:u. Frt - An Fr <br /> Permit Fee Valid <br /> 23Sfo OOS ' om To <br /> TA11G2O1 ;k)s3TS 's5O Diesel OS Active Permit <br /> 01�0!15v 12(31l� <br /> PERMIT CONDITION-3: <br /> i) The PERMIT TO OPERATE will become void if AtIjAL PERMIT Fees and SERVICE Fees are not Paid ardor the L•'T systems) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 27 The PERMIT TO OPERATE is granted to the TAW OM who accepts responsibility for operating and monitoring the IYST systrm <br /> according to State underground storage tanr, 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 mcmitor the UST system according to the WRITTEN <br /> OPERATING AGREEMENT required under Section 2529-3. Chapter G.7 <br /> system. ou�, Division 20, California Health and Safety Code. <br /> b) The TANK OWNER shall notify the Environmental Health Division of any proposed change in operation or rship of the UST <br /> S) Upon any change in equipment, design or operation of this facility, the PERMIT TO OPERATF will be reviewed by the <br /> Environmental Health Division. <br /> G) A construction or removal Permit is required from the Environmental Health Division prior <br /> change of UST system equipment. to any removal or <br /> T) 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 AT,. UST FACILITY issued to; PLYMOUTH '}C!UARE <br /> 1:319 N MADISO)g <br /> STOCf+. :LeN, CA _—I j:iIIY. <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENT'S are NOT TRANSFERABLE <br /> and may be SUSPENDED Or REVOKED for cause . <br /> THIS FMh MIST HE 13ISPLAVED CONSPICUOUSLY ON THE PREMIISE5 <br /> RRRI A,TED FACILITY: PLYMOUTH SQUARE <br /> 1319 N MADISON_,ON Account ID: C�Uc>=307 <br /> :=;TDCI:TC4V, CA +S U- Facility ID: 1)03728 <br /> Permit Printed: 05/28/96 <br /> "11LIdG ADDRESS: <br /> PLYMOUTH QUARE <br /> ATTN : ERNESTO GL -MAN <br /> 1319 N MADISON <br /> STOC:KTON, CA 'aS2172 <br />