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USI RON M ENTAL HEAL* 101101 PREMISE <br /> ISSUED: EXPIRES: PERMIT NO. <br /> i`�a° ' L7�cer',be '�i ''''7 SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1601 E. HAZELTON AVE. • PHONE 466-6781 <br /> Permit issued to: P.O. BOX 2009 • STOCKTON, CA 95201 <br /> i�!LCCJ RXD <br /> �i i :t:.k 11Rv =:A :4�} OPERATING PERMIT FOR UNDERGROUND <br /> .,tact ' ;j. STORAGE TANK FACILITY <br /> r' ,� c;1`_1 E.l `c i_rtt%'t #'{=Jt=tr;l�iri'i <br /> i`1-Iori{ HN-z 4AI N TANK OWNER4243 -Y <br /> NUMBER OF TANKS <br /> ' 1 <br /> ii}l., y i-i r,i.1�S} 1 =};�1{ti's aL 3 <br /> f�t.�._ Mote}' "1 {�s3.C: I• it 1 � tuft) 10 <br /> T,-NK <br /> i sta41 s <br /> CONDITIONS <br /> 1. This permit expires in five (5) years and is renewable thereafter. 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 /> ion of this facility, permit will be reviewed by the <br /> 5. Upon a significant change in design or operat <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 /> + I `t �t i.i; Ziac t}�ti"si+fl1iij} 1F.»+1' ic , 1U1,'_ <br /> llfl�i !=• a L�+-nd1 }.i-+1?rt,. F'E�}''P(11C itlL Y w• F -- _ <br /> vio- ,s- ;v t.l-t,"'' t.o(i1F'11ct}3Ce `•.lttt-ifs, noted on, the rfiost, 1'eCt?il% <br /> is <br /> i r r3 <br /> MPRcotoi!i Va13ii;+ti , R. . <br /> District Health Officer Director of Environmental Health <br /> THIS PERMIT MAY BE SUSPENDIOR REVOKED FOR CAUSE is <br />