SAN J01 AN ( JNTY PUBLIC HEALTH 'RVI(
<br />P O Box 388 STocxToN, CA 95201-0388 • PHoNE (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 />� -1Uh fl Iii _ a ► T yITY
<br />PERMIT CONDITIONS:
<br />:) Th:_ PERMIT TO OPERATE will become void if AMIAL PERMIT Fees and SERVICE Fees are not. paid and/or the ?ST systems) fails
<br />to remain in compliance with the PERMIT UNDITIONS.
<br />2) The PERMIT TO OVERATE is granted to the TAtdk OWNER who accepts responsibility f; --!r operatir!q and rsr.nitoring the UST system
<br />according to State underground storage tank laws and regulations as well as any conditions established by "Rn 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 AGREEMIEMIT required under Section 25:.x+3, Chapter 6.71 Division 20, California Health and Safety Code.
<br />41 The TAW OWNER shall notify the Errvirorwvntal Health Division of any proposed change in operation ofi ownership of the Ui'T
<br />system.
<br />5) Upon any changein e;.aipn!ent, design! or operation of this facility, the PER -11 TO OPERATE will -e reviewed by the
<br />Environmental Health Division.
<br />6) A construction or removal permit is r'equir'ed from the Environmental Health Division Prior to any r'errF:val or
<br />change of ( T system eq iptent.
<br />7) This PERMIT TO OPERATE shall of tie considered permission to violate any e-,ist•ir!g laws, ordinar!ces cir statutes of -Aber
<br />federal., state or local agencies.
<br />" completed b, the da.e•� specified on it-s��ection.
<br />�) A Conditional Permit" ti!ay <<r ievr_eu if ;or'rect•ions are r!t�t. C• z v =. ;-} C r r
<br />PERMIT TO OPERATE an VzT FACILITY issued to- FRANC:'* r,;t j I NTA
<br />�'C)? 1. W! YOSEMITE AVE.
<br />PERMIT :W; TO OPERATE a!t nf'i ANNI JAL PERMIT FEE: PAYMENTS are NOT TRANSFERABLE
<br />:..tnd rr!a•v be St -J. PENDE:D c,r REVOKED fcop cause
<br />THIS E=-OR"i t`UI;T OF7 DISFILAY COCIPa -LIL SL ' FIV4. THE'.
<br />T: + ? ?
<br />REGULATED FACILITY; jFRjANI.F"'.,G�Ujil,—_C�=O F STOP MART #E, Account ID) 0004`�5:I'Facility ID. r_�it���;j.;;d
<br />_ L
<br />PC 6'rir!t•e3; f f 11 _X_ i - -
<br />EILLIX ADDRE a":
<br />FRA*'.* iil.) I NTAS' ONE =TOP MART K-
<br />A 'r T hl ; FRAN' &J I PITAS,
<br />'0 W YOSEMITE
<br />"1 ANTEC:A , CSA 9 r ;
<br />Tar!k
<br />Tar!:
<br />Permit
<br />Annual Pep!oit•
<br />Fee Valid
<br />P/E
<br />Number
<br />Record 1D
<br />Number
<br />Capacity
<br />Contents
<br />Permit Status
<br />From
<br />To
<br />2?Sl
<br />4t;1
<br />_ TA1445Gi
<br />00660S
<br />Unleaded
<br />_
<br />�� Conditional Permit
<br />01f01i.
<br />12'31196
<br />_3Sr,
<br />003
<br />TA140503
<br />t106608
<br />S,C a
<br />Unleaded
<br />02 tc-nditioryai Remit
<br />filf0li_i6
<br />11213
<br />L. �V
<br />002
<br />TP1 C5G!3
<br />fid'(
<br />5,ih
<br />Unleaded
<br />►2 Conditional Permit
<br />01/0,1/%-'
<br />!96
<br />PERMIT CONDITIONS:
<br />:) Th:_ PERMIT TO OPERATE will become void if AMIAL PERMIT Fees and SERVICE Fees are not. paid and/or the ?ST systems) fails
<br />to remain in compliance with the PERMIT UNDITIONS.
<br />2) The PERMIT TO OVERATE is granted to the TAtdk OWNER who accepts responsibility f; --!r operatir!q and rsr.nitoring the UST system
<br />according to State underground storage tank laws and regulations as well as any conditions established by "Rn 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 AGREEMIEMIT required under Section 25:.x+3, Chapter 6.71 Division 20, California Health and Safety Code.
<br />41 The TAW OWNER shall notify the Errvirorwvntal Health Division of any proposed change in operation ofi ownership of the Ui'T
<br />system.
<br />5) Upon any changein e;.aipn!ent, design! or operation of this facility, the PER -11 TO OPERATE will -e reviewed by the
<br />Environmental Health Division.
<br />6) A construction or removal permit is r'equir'ed from the Environmental Health Division Prior to any r'errF:val or
<br />change of ( T system eq iptent.
<br />7) This PERMIT TO OPERATE shall of tie considered permission to violate any e-,ist•ir!g laws, ordinar!ces cir statutes of -Aber
<br />federal., state or local agencies.
<br />" completed b, the da.e•� specified on it-s��ection.
<br />�) A Conditional Permit" ti!ay <<r ievr_eu if ;or'rect•ions are r!t�t. C• z v =. ;-} C r r
<br />PERMIT TO OPERATE an VzT FACILITY issued to- FRANC:'* r,;t j I NTA
<br />�'C)? 1. W! YOSEMITE AVE.
<br />PERMIT :W; TO OPERATE a!t nf'i ANNI JAL PERMIT FEE: PAYMENTS are NOT TRANSFERABLE
<br />:..tnd rr!a•v be St -J. PENDE:D c,r REVOKED fcop cause
<br />THIS E=-OR"i t`UI;T OF7 DISFILAY COCIPa -LIL SL ' FIV4. THE'.
<br />T: + ? ?
<br />REGULATED FACILITY; jFRjANI.F"'.,G�Ujil,—_C�=O F STOP MART #E, Account ID) 0004`�5:I'Facility ID. r_�it���;j.;;d
<br />_ L
<br />PC 6'rir!t•e3; f f 11 _X_ i - -
<br />EILLIX ADDRE a":
<br />FRA*'.* iil.) I NTAS' ONE =TOP MART K-
<br />A 'r T hl ; FRAN' &J I PITAS,
<br />'0 W YOSEMITE
<br />"1 ANTEC:A , CSA 9 r ;
<br />
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