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SAN JOAN COUNTY PUBLIC HEALTH SFICES <br /> 304 E.WEBER AVE., RD FLOOR • STOCKTON,CA 9$202 • PH (209) 468-3420 <br /> KAREN FURST, M.D., M.P.H., HEALTH OFFICER <br /> DONNA HERRN,R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> SATING PEh.'I'6IT FOR L*DEF26ROMD STORAGE TANK FACILITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> P/E Number Record iD Number C acit Contents Permit Status From To <br /> 2'360 U04 TA16^alOd OOdidl 12,000 Unleaded 01 Active Permit 01!01/"9 12f31/99 <br /> 2360 005 TA163105 004142 10,000 Unleaded 01 Active Permit 01/01'199 12/31/99 <br /> 2360 006 TA163106 004143 8,000 Unleaded 01 Active Permit 01/`11/99 12/31/99 <br /> PERMIT CONDITIONS. <br /> I) The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SERVICE Fees are not paid and/or the UST system(s) faits <br /> to remain in compliance with the PERMIT CONOITU N . <br /> 2) The PERMIT TO OPERATE is granted to the TAN( OWNER who accepts responsibility for operating and arunitoring the UST system <br /> according to State underground storage tank laws and regulations as well as any conditions established by San Joaquin Czijnty. <br /> 3) The TANK OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system accordir, to the WRITTEN <br /> OPERATING AGREEMENT required under Section 25293, Chapter 6.7, Division 20, California Health and Safety Code. <br /> 4) The TANK OWNER 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 I~quipment, 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 required from the Environmental Health Division prior to any removal or <br /> change of UST system equipment. <br /> T) 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 /> # 4 All <br /> PERMIT TO OPERATE an UST FACILITY issued to; TIME CIIL CO <br /> PO BOX 22.44.4: <br /> SEATTLE, WA 98124 <br /> PERMITS TO OPERATE and ANNUAL FERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED fior cause . <br /> # + 4 # <br /> THIS i 91RBST BE EYIq�-LAYED CL' ICL1L%1SLti ON THE F'REMISE:S <br /> REGULATED FACILITY: JACi;POT FOOD MART* Account IO; 0000090 <br /> 14000 E HI:IY1� Facility IN 000091 <br /> LOCKEFORD, CA 'x5237 Permit Printed: 04/26/99 <br /> BILLING ADDRESS; JACKPOT FOCID MART+ <br /> PO BOX 24447 TERMINAL_ =T <br /> SEAT T L.E, WA 98124-22447 <br />