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ENONMENTAL HEALTH <br /> POST ON PREMISE N <br /> S' <br /> PERMIT N0. <br /> ISSUED: EXPIRES: i <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> 1ec erftbe. `^;; t`=f'=#:, ENVIRONMENTAL HEALTH DIVISION <br /> Permit Issued to: 1601 E.HAZELTON AVE. • PHONE 468-3420 <br /> P.O. BOX 2009 • STOCKTON,CA 95201 <br /> °eIOC:KI'I:.N KAi` cti rIEDICAL t EWER <br /> '-'=' irE iLRC!? OPERATING PERMIT FOR UNDERGROUND <br /> ,_TUDC K s ?N C:A '95.210 <br /> STORAGE TANK FACILITY <br /> 01. 10 No; KAISE73 <br /> TANK OWNER <br /> >HOCK'tON KAI =EA M01CAL CENTER 01SEF F`ERMANI*NTE <br /> '_ I+-!;.•Y•.11 fN .11AKL.AND CA 94612 <br /> NUMBER OF TANKS <br /> 10,01 TANKS �=� -r Vehicle Fuel 12,060 ril <br /> CONDITIONS <br /> 1. This permit expires on December 31, of the current year. Inspection fee will be billed annually. Y v <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. G <br /> 3. Tank operators, if different than the owner, shall operate and monitor the tank system according to the <br /> 4 1{; <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 /> 4`. <br /> Jogi Khanna, M.D., MPH Ron V oti, REHS, Director <br />' Health Officer NON-TRANSFERRABLE Envir ntal Health Division <br /> THIS PERMIT MAY BE SUSPENDED OR REVOKED FOR CAUSE <br />