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• SAN J040JIN COUNTY PUBLIC HEALTH MCPS <br /> P O BOX 388 TT S�KTpx, CA 95201-03S • Pg0209) 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 /> >13 TI EnN1T Fay tJ 440 EITORAGE TAW FACILITY <br /> Tank Tan6: Perlifit <br /> P/E Number Record I0 Number Capacity Conients Rermit Status AnnuFr Permit Fee Valid <br /> 236C OCI TA116?t)1 OC6375 35C UnleadLda <br /> C. Active Permit Ci/01/01/30 -12/3166 <br /> PERMIT CONDITIONS: <br /> 1) Tte PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SERVICE Fees are riot paid andlor the UST system(s) falls <br /> to remain in compliance with the PERMIT CONDITIONS <br /> 2) The PERMIT TO OPERATE is granted to the TANK OVNER who accepts responsibility for operating and monitoring the LIST system <br /> according to State underground storage tank laws arra regulations as well as any conditions established by San Joaquin Nnt.y. <br /> 3) The TANK OPERATOR(S), if different from the tarp: owner, shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING AGREEMENT required under Section 25233, Chapter 0.7, Division 20, California Health and Safety Code. <br /> 4) The TANK OVNER shall notify the Environmental Health Division of any proposed change in operation or ownership of the t�ST <br /> system. <br /> 5) Upon any change in equipment., design or operation of this facility, the PERMIT TO OPERATE will he reviewed by the <br /> Environmental Health Division. <br /> 0) 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 shall hot be considered permission to violate any existing laws, ordirwnces or statutes of other <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an UST FACILITY issued to: PLYMOUTH ;QUARE <br /> 1 : 19 N MADISON <br /> S'TOCKTON, CA 95.202 <br /> PERMIT'S TO OPERATE and ANNUAL PERMIT FEE PAYMENT': are NOT TRANSFERABLE <br /> and clay be SUSPENDED c,r REVOKED for cause . <br /> 'T'HI'S I MYST BE DISPLAWED C-m b-PI <br /> CC�XRSLY OW atm l'REN#$SE5 <br /> REOJLATED FACILITY: PLYMOUTH SQUARE <br /> 1319 N MADISON Account ID: 0003307 <br /> 3Ti�CK:TON, {:A 352'0 2 Facility ID; 003728 <br /> Permit Printed; 0.5/02/95 <br /> BILLING ADDRESS; <br /> PLYMOUTH 'SQUARE <br /> ATTN : ERNESTO GU2MAN <br /> 1319 N MADISON <br /> STOC:KTON.. CA 95202 <br />