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SAN J fbQUIN COUNTY PUBLIC HEAL ERVICES <br /> P O Box 3 e STocKTON, CA 95201-0388 • PH (209) 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> OPERATING PERMIT FOR LWERGROUM STORAGE TAW FACILITY <br /> Tank Tank Permit annual Permit Fee Valid <br /> P/E Number Record ID Number Capacity Contents Permit Status From To <br /> 21:60 005 TA134005 0049414, 12,000 Unleaded 1 Active Rermit 01/01/95 1 / 1 t5 <br /> 230 006 TA134806 004944 12,000 Unleaded 01 Active Permit 01/01795 12131199 <br /> 2364 007 TA134907 004945 12,000 Unleaded 01 Active Permit 01/41/95 12/31/95 <br /> 21360 008 TA134- 064946 520 OI Active P-rmit 01141/95 12/31/95 <br /> PERMIT CONDITIONS: <br /> 1) The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SERVICE fees are not paid apd/or ttie UST syst.em(s) fails <br /> to remain in compliance with tete PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to tte TAW DSR 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 TAW OPERATORS), if different from the tank owner, shall operate and monitor the U'S'T system according to the WRITTEN <br /> OPERATING AGREEMENT rewired under Section 25293, Chapter 6.7, Division 20, California Health and Safety Code. <br /> 4) The TANK OWNER 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 /> charge 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 /> PERMfIT TO OPERATE an UST FACILITY issued to., I NDER PAUL SING <br /> 601 E KETTLEMAN <br /> LODI , CA 9S240 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY Y O N THE PREMISES <br /> REGIA.A19 FACILITY; PAULS EXXON Account 10° 000 8702 <br /> 601 E KETTLEMAN LN Facility ID: 003803 <br /> LO..ODI , CA 95240 Permit Printed" 08/11/9s <br /> WILLING DRESS. <br /> PAULS EXXON <br /> ATTN; PAUL S I NGH <br /> 601 E KETTLEMAN Ltd <br /> LOD I , CA 9622 .c_s <br />