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i <br /> brWIRONMENTAL HEALvvi POST ON PREMISE <br /> ISSUED: EXPIRES: PERMIT N0. <br /> `I"f'1' —1 , 1 "! Decerfiber dl , 1'j SAN JOAOUIN COUNTY PUBLIC HEALTH SERVICES <br /> Permit issued to: ENVIRONMENTAL HEALTH DIVISION <br /> 1601 E. HAZELTON AVE. • PHONE 468-3420 <br /> c«i'. H �L I bHELL P.O. BOX 2009 • STOCKTON,CA 95201 <br /> 30ti i4. BENJAMIN HOLT DR. <br /> STC-4'KTON CA g5209 OPERATING PERMIT FOR UNDERGROUND <br /> Status, 01. ID No: LINOE30 STORAGE TANK FACILITY <br /> SHELL OIL SERVICE 'STATION <br /> TANK OWNER HAROLD k:EtJI1RIC!`: <br /> 301:: W BENJAMIN HOLT DR 3011 W BENJAMIN if-ILT <br /> 3TOWTON CA 9SE09 '_TACKTON CA 9.5209 <br /> NUMBER OF TANKS 06 <br /> Tanl,; Description Product. Capacity LDM Status <br /> --- ------------------- -------- <br /> 0001 TANKS Motor Vehicle Fuel 10,00;0 --- --01-- <br /> 000 1ANK Motor Vehicle Fuel f,,C100 0i <br /> 0003 TANKS F; Other 550 7 N <br /> 0004 TANKS Motor 'Vehicle Fuel . ,000 5 01 <br /> 0005 TANKS Waste Oil 5:50 +)i <br /> 0006 TANK: Motor 'Vehicle Fuel 5:,r' 09 <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 /> Jogi Khanna, M.D.,MPH Ron Val'" REHS, Director <br /> Health Officer NON-TRANSFERRABLE Envir al Health Division <br /> ^ <br /> THIS PERMIT MAY BE SUSPENDED OR REVOKED FOR CAUSE <br />