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SAN JOtUIN COUNTY PUBLIC HEALTH.VICES <br /> 304 E.WEBER AVE., I"FLOOR • STOCKTON,CA 95202 SIVE (209) 468-3420 <br /> KAREN FURST,M.D., M.P.H., HEALTH OFFICER <br /> DONNA RERAN,R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> OPERATING SIT FOR LH)ERGMM STORAGE TA: FACILITY <br /> Tani; Tank Permit Annual Permit Fee Vali <br /> Pig Number Record 10 Number Capacity Contents Permit Status From To <br /> 2380 001 TA130901 004556 12,000 Unleaded 01 Active Permit 01101198 12/31/98 <br /> 2350 002 TA130902 004657 12,10%1 Unleaded 01 Active Permit 01101i'Yd i2i'31i%, <br /> 23SfJ 003 TA130903 004(155 41000 Unleaded 01 Active 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 riot paid and/or the UST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> a'2) The PERMIT TO OPERATE is granted to the TAW OAR who accepts responsibility for operating and monitoring the LIST system <br /> according to State underground storage tank laws and regulations as well as any conditions established by San Joaquin Canty. <br /> 3) The TAW OPERATIONS), if different from the tank owner, shall operate and monitor the UST system according to the WRIT <br /> OPERATING AGREEMENT required under Section 25293, Chapter 6.7, Division 20, California Health arra Safety Cade. <br /> 4? The T =�R shall notify the Environmental Health Division of any proposed change in operation or ownership of #� UST <br /> system. <br /> 5) Upon arty chafe 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 rewired from the Environmental Health Division prior to any removal or <br /> change of UST system equipment. <br /> 7) This PERMIT TO OPERATE shall riot be considered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an UST FACILITY issued to: F I SH I DA, GEORGE INC <br /> 172-1; ACKERMAN OR <br /> L ODI , CA 9 52:40 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENT'S are NOT TRANSFERABLE <br /> and may tSUSPENDED c+t' REVOKED KED for c aause. <br /> THIS FORM MUST BE DIS-Fi-AYM <br /> C . ICMOI L.' TW PREMISES <br /> REG L ATED FACILITY- KI:wIH I DA, GEORGE INC. Account ID., 0003'3'3S <br /> 1725 ACKERMAN DR Facility ID; 003756 <br /> L ODI , CA 95240 Permit Printed; 03/02/% <br /> SILLIi 3 ADDRESS; K I SH I DA , GEORGE INC: <br /> 1725 ACKERMAN DP <br /> L_CIDI , CA 3524 <br />