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SAN JO�TIN COUNTY PUBLIC HEALTHVICES <br />P O Box 388 STocxToN, CA 95201-0388 • P110 09) 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 />'17Y,,AXING PERMIT FOR UNDERGROAM STORAGE TAW FACILITY <br />Tai Tank Permit Annual Permit Fee Valid <br />P/E i+er• Record 10 Number Capacity Contents Permit. StatusFrom To <br />536— 1 TAIS4701 44510? 550 Unleaded 01 Active Permit, _ 41101/95 <br />PERMIT CONDITIONS: <br />1) The PERM?IT TO OPERATE will become void if AKIAL PERMIT Fees and SERVICE Fees are not paid and/or the UST system(s) fails <br />to remain in compliance with the PERMIT CONDITIONS. , <br />2) The PERMIT TO OPERATE is granted to the TANK EVER 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 TA*,' OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br />OPERATING AGREEMENT required under Section 25M Chapter 5.7, Division 20, California €iealth and Safety Code. <br />4) The TANK NO 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) A construction or removal permit is required from the Environmental Health Division prior to any removal or <br />change 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 />PERMIT TO OPERATE an UST FACILITY issued to; MCI <br />PO BOX 1.3SO <br />ELVERTA, CA 956216 <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 ON THE PREMISES <br />REGULATED FACILITY: MCT CORPORATION Account 10; 000 34 35 <br />1:3850 N DEVRIES RD Facility lD; 00:3848 <br />LODI , CA 95240 Permit Printed: 081111/96 <br />BILLING ADDRESS: <br />MCI CORPORATION <br />2820 KOVR DR <br />WEST SACRAMENTO, <br />CA 95605 <br />