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CA Cert. No. on -, 6 <br /> An upgrade compliance certificate <br /> has been issued in connection with <br /> Underground Storage Tank Facility <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 /> 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: TIME OIL CO <br /> TANK OPERATOR: JACKPOT FOOD MART <br /> FACILITY NAME: JACKPOT FOOD MART* <br /> FACILITY ADDRESS: 14000 E HWY 88 , <br /> LOCKEFORD 95237 <br /> FACILITY ID 4: 231631 <br /> ISSUE DATE: 11/10/98 <br />