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SAN JO N COUNTY PUBLIC HEALTH PONVE(209) <br /> ICES <br /> R 304 E.WEBER AVE., HIRD FLOOR • STOCKTON,CA 95202 • 468-3420 <br /> KAREN FuRST,M.D.,M.P.H.,HEALTH OFFICER <br /> DONNA HERRN,R.E,H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> OFUMTING SIT FOR UNDERGMM STORAGE TAW FACILITY <br /> Tags Tank Permit Annual Permit Fee Valid <br /> PIE Number Record ID Naber Capacity Contents Permit Status From TO _ <br /> 23 0 401 TA134201 005207 10X Unleaded 02 Conditional Permit 01/01/98 12/31/98 <br /> 2380 002 TA134202 OBS208 10,0Unleaded int Conditional Permit 101/01/98 12/31/98 <br /> 2380 0103 TA134203 405288 10,040 Unleaded 42 Coalitional Permit 01/01/98 12/31/98 <br /> PERMIT CONDITIONS: <br /> 1) The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SERVICE Fees are not paid and/or the UST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TAW OWNER who accepts responsibility for operating and monitoring the UST system <br /> according to State underground storage tank laws and regulations as well as any conditions established by San Joaquin County. <br /> 3) The TANK OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING AGREEMENT required under Section 25293, Chapter 5.7, Division 24, California Health and Safety Code. <br /> 4) The TANK N14ER shall notify the Environmental Health Division of any proposed change in operation or Ownership of the UST <br /> system. <br /> 5) Upon any change in equipment, design or operation of this facility, the PERMIT TO OPERATE will be reviewed by the <br /> Environmental Health Division. <br /> 6) 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 not be considered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state Or local agencies. <br /> 8) A 'Conditional Permit" may to revoked if corrections are not completed by the date(s) specified on inspection. <br /> PERMIT TO OPERATE an UST FACILITY issued to; GRAFF I GNA, FETE 2q BILL <br /> 1-3,01 Ij KETTLEMAN LN <br /> L.ODI , CA 9540 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NI IT TRAN'a';:FERAE:LE <br /> and may t-e c )SPENDED r, <br /> REVOKED for rause-,. <br /> ?� ° + i <br /> IS FI. MMT BE DISPLAYED ICXY ON THE PREMISES = <br /> i <br /> REGILATED FACILITY: FLANGE LlW}IRS #2 Account ID: OW10 91 <br /> 1301 Int KETTLEMAN LN - Facility ID: 000'�� <br /> LODI , CA 9S242-4572 Permit Printed: 03102/Yd <br /> BILLING ADDRESS: FLAME LIQ NOP S # <br /> ATTN: GRAFF I GNAI PETE h BILL <br /> 1301 W KETTLEMAN LN <br /> LODI , CA .-:� "- 2-4572 <br /> i <br />