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4 <br /> ENVIRONMENTAL HEALTO POST ON PREMISE <br /> ISSUED: EXPIRES: PERMIT NO. <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> Permit Issued to: 1601 E. HAZELTON AVE. • PHONE 468-3420 <br /> P.O.BOX 2009 • STOCKTON,CA 95201 <br /> COD AND LIQUOR <br /> !-'90 N MAIN OPERATING PERMIT FOR UNDERGROUND <br /> IANT ECA CA 9.5_-b <br /> STORAGE TANK FACILITY <br /> 3t.atus; 0i IC) Wy : CU' <br /> THE CU-:J0h1ER CID (J J0H{,i:=0N) TANK OWNER <br /> P.13. BOX "38G, <br /> BOX c <br /> C:Effr ; CA ':4510 �i CA <br /> NUMBER OF TANKS <br /> 04 <br /> Tank Description rro,iurt. .-:.__ _ Ohl Status <br /> 000 TFANk;:; ^' Motor Veh4cle Fuel __1 Y'+ji)f; _-h <br /> 0004 TANK.'--,' 1i�t.i,P' vei1"1:le Fuel 1,'_';000 16 i1 <br /> 0005 TANKS' Motor Veid Fuel I-. l01 E. 0., <br /> 620 ie: <br /> CONDITIONS <br /> 1. This permit expires on December 31, of the current year. Inspection fee will be billed annually. <br /> 2. This permit is granted to the tank owner who accepts responsibility for operating and monitoring the tank <br /> system according to state underground storage tank laws and regulations and conditions set by the county. <br /> 3. Tank operators, if different than the owner, shall operate and monitor the tank system according to the <br /> written operating agreement required under Section 25293, Chapter 6.7, Division 20, California Health and <br /> Safety Code. <br /> 4. Tank owner shall notify the Environmental Health Division of any proposed change in operator or ownership <br /> of tank system. <br /> 5. Upon a significant change in design or operation of this facility, permit will be reviewed by the <br /> Environmental Health Division. <br /> 6. This permit cannot be considered as permission to violate existing laws, ordinances, regulations or statutes <br /> of other governmental agencies. <br /> J' <br /> Jogi Khanna, M.D., MPH . Ron V ti, REHS, Director <br /> Health Officer NON-TRANSFERRABLE Envir(Wntal Health Division <br /> THIS PERMIT MAY BE SUSPENDED OR REVOKED FOR CAUSE <br />