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SAN JOAWN COUNTY PUBLIC HEALTH VICES <br /> P O Box 388 T STOCKTON, CA 95201-0388 • PHONE (209) 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA HERRN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> 0PERATIWa P IT FOR UNDERGMAQ STAGE TANK FACILITY <br /> Tank Tangy Permit Annual Permit Fee Valid <br /> P/E Number Record lD !fir Capacity Contents -- _ Permit Status rrr i TO <br /> :36P 005 TA134NIS 004943 12,000 Unleaded 01 Active Permit Permit 011/01/97 12/31/97 <br /> 2360 006 TA134806 004544 12,000 Unleaded 01 Active Permit 01101/97 12/31/97 <br /> 2360 007 TA134007 004945 1200 unleaded 01 Active Permit 011101/97 '12/31/97 <br /> 2360 008 TA134K)8 004946 520 Waste Oil 01 Active Permit 01.101/97 12/31/97 <br /> • 1 <br /> PERMIT CONDITIONS: <br />. 1) The PERMIT TO OPERATE will become void if ANNUAL PERM Fees and 'SERVICE Fees are not Paid and/or the (16-1 system(s) fails <br /> to remain is, compliance with the PERMIT O ITINNS. I <br /> 2) The PERMIT TO OPERATE is granted to the TARS' OWNER who accepts responsibility for operating and monitoring the UST system <br /> according to 'tate underground storage tank laws and regulations as well as any conditions established by San Joaquin Canty. <br /> 3) The TANK OPER.4TOR(S), if different from the tank own r, shall operate and tconitor Lt,e y:;T system according to the WRITTEN <br /> OPERATING AGREEMENT. required under Section 25293: Chapter 6.7, Division 20, California Health and Safety Cote, <br /> 4) The TANK NVNER shall notify the Environmental Health Division of any Proposed chance in operation or ow►iersh3p of the (,uT <br /> system. <br /> S) Upon any change in equipment, design or operation of this facility, the PERhIT TO URATE will to revie. d by the <br /> Environmental Health Division. <br /> I 6) A construction or removal permit is require from the Environmental Health Division prior to arv, removal or <br /> change of UST system equipment. <br /> 7) This PERMIT TO OPERATE shall not be considered Permission to violate any eiisting laws, ,irdinarices or statutes of other <br /> federal, state or local agencies. <br /> i <br /> PERMIT TO OPERATE an !ST FACILITY issued to; I NDER PAUL S I NG <br /> wa I E KE T TL.EMAN <br /> LODI , CA 95240 <br /> r <br /> F'EE`M I T', To OPERATE and ANNUAL PERMIT FEE PAYMENT'-, are NOT TRANSFERABLE <br /> and may be; SUSPENDED or REVOKED •f o r cause . <br /> TMS FOIRM MUST BE DISPLAYED CONSPICUMLSLY ON THE PREMISES <br /> REGULATED FACILITY- PAUL. ^ EXXON Account ICD. OGOST72 <br /> 3 ES KETTLEMAN 'LN n„ Facility ID; 0013%3 <br /> If D I , CA 9S-7140 Permit Printed: 104/08/97 <br /> BILLING ADDRESS! PAUL 'S EXXON <br /> ATT`` ; PAUL S I MGH <br /> 601 E KET i LE't'tAN LN <br /> LODI , CA `5240.a <br />