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SAN JOAQU COUNTY PUBLIC HEALTH SERV ES <br /> 304 E.WEBER AVE.,THILOOR • STOCKTON,CA 95202 • PHON9)468-3420 <br /> KAREN FORST,M.D., M.P.H., HEALTH OFFICER <br /> DONNA HERRN,R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> fg�ATIIM PfO;MIT FWR tJ* ,1 STMT T ,,: FACILITY <br /> Tank Tari: Permit Annual Permit Fee Valid <br /> P/E Uber Record ID Number Capacity Contents Permit Status From To <br /> 23?k 1601 TA249401 0041%2 1210001 Unleaded 01 Active Permit 01/01198 32131%98 <br /> PERMIT CONDITIONS: <br /> 1) The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SEROCE Fees are not paid and/or the UST system(s) fails <br /> S to remain in ccliance with the PERMIT C:C+•NDITIONS. <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 TAW OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING AGREEMENT rewired under Section 25M. , Chapter 5.7, Division 20, California Health and Safety Code. <br /> 4) The TAIt 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 /> 5) Aconstruction or removal permit is rewired fres the Environmental Health Division prior to any removal or <br /> change of UST system ewiprisent. <br /> 7) This PERMIT TL OPERATE shall riot be considered permission to violate any existing laws, ordinances or statues of other <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an UST FACICIT'1 issued to: KAISER PERS iANEN T E <br /> 7:373 _WEST LANE: <br /> TOCK►iIN, CA 95210 <br /> -'ERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> a-nd rr:a y be T;t JSPE:NDED r,r•• REVOKED f its, cause . <br /> THIS FUM, STT BE DI +l Cit 'ICUL-G.Y ON THE FItENISS <br /> REGULATED FAC?!ITYKAISER P'EERMANEENTE Account ID: 0004672 <br /> 7373 WEST LANE Facility ID: 002602 <br /> ST!_ICKTON . CA `S 2`1�a Permit Printed: 43/02/ <br /> BILLING ADDRESS: KAISER PERMANE.NTE: <br /> 1305 TI_+MMYDnN <br /> _ <br /> TTOi..•r'•.TP...ill}i 5..•o • ,DSy.7.tl <br /> r <br />