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E�w/IRONMENTAL HEAL,41-1 POST ON PREMISE <br /> ISSUED: EXPIRES: PERMIT NO. <br /> uric 41 , 19=;5 Le etaber ' L'yc: <br /> SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> Permit issued to: 1601 E. HAZELTON AVE. • PHONE 466.6781 <br /> i-5 SHELL P.O. BOX 2009 • STOCKTON, CA 95201 <br /> 11 W. BENJAMIN HOLT DR. <br /> D.TOCKTON CA 952()9 OPERATING PERMIT FOR UNDERGROUND <br /> Status: fi1 STORAGE TANK FACILITY <br /> BEN HOLT w 1-5 SHELL <br /> S <br /> 3<t11 W. BENJH!'tIN HOLT DR. TANK OWNER 791!? LLOWERSAA <br /> C R <br /> STOD TON A =U. S T OCKTON CA 9521k) <br /> NUMBER OF TANKS 05 <br /> Tank: Description Froduc*_ Cap <br /> �ai.l,.y i_liPi SLdtUS <br /> ---- ----------- --------- -------- --- ------ <br /> 0001 TANKS Unleaded 10,000 .5 01 <br /> 000TANKS Urledled _; 000 5 01 <br /> C1003 TANKS R Waste Oil 550 i N <br /> 0004 TANK=: Unleaded 8,000 5 01 <br /> 0005 TANKS Waste Oil, 550 C B <br /> CONDITIONS cno k_) yea,- <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 /> 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 /> District Health Officer Director of Environmental Health <br /> THIS PERMIT MAY BE SUSPENbeep►OR REVOKED FOR CAUSE °f <br />