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CA Cert. No. 0 218 0 <br /> F' <br /> d <br /> Fr. <br /> .. n An upgrade compliance certificate <br /> has been issued in connection with <br /> the operating permit for the <br /> facility indicated below. The <br /> certificate number on this facsimile <br /> matches the number on the <br /> certificate displayed at the facility. <br /> • i N'hI <br /> Instructions to the issuing agency: Use the space below to enter the following information in the format of <br /> Your choice: name of owner; name of operator; name of facility; street address, city, and zip code of facility; <br /> facility identification number(from Form A); name of issuing agency; and date of issue. Other identifying <br /> information may be added as deemed necessary by the local agency. <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DIVISION <br /> Tank Owner: LOVES COUNTRY STORE ' <br /> Tank Operator: LOVES COUNTRY STORES OF CA <br /> Facility,Name: LOVES COUNTRY STORE <br /> Facility Address: 1510 JACK TONE RD <br /> RIPON CA 95366 <br /> Facility ID#: PRO516526 <br /> Issue Date: 8/21/2001 <br />