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SAN JOA�[IN COUNTY PUBLIC HEALTH SVICES <br /> 304 E.WEBER AVE., B FLOOR • STOCKTON,CA 95202 • P (209) 468-3420 <br /> KAREN FURST, M.D., M.P.H., HEALTH OFFICER <br /> DONNA HE(RAN,R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> T� naTF , En - .� +74DN ;- <br /> TangyPermit Tank a t Annual Permit Fee Valid <br /> Tank . <br /> HE Number Record 10 Number Capacity Contents Permit Siatus From To <br /> 23K ON TA153104 004141 12,000 Unleaded 01 Active Permit (11/41/98 12/31/42 <br /> 2:330! 445 TA153105 404142 10,000 Unleaded 01 Active Permit. 011011'32 12/31/% <br /> L380 x10;5 ?A1o310B 404143 2,004 Unleaded 01 Active Permit. 01/41/9'3 12/31/98 <br /> PERMIT CONDITIONS: <br /> 1) The PERMIT TO OPERATE will become void if ANNUAL 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 NINER who accepts resp-�nsibility for noerat.in9 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 TANK OPERATOR(S), if different from the tank owner, shall operate and monitor the UST sfstem according to the WR11TEN <br /> OPERATING AGREEMENT required under Section 25243, Chapter 6.1, Division 20, California Health and Safety Code. <br /> 4) The TPW IWER shall notify the Environmental Health division of any proposed change in operation or ownership of the lh=T <br /> sy=.tem. <br /> 5) L>,on any change to 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 Environrr;ental Health Division Prior to any removal or <br /> change of UST system equipment. <br /> ?) 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 /> # <br /> PER11TI TO OPERATE an ItST FACILITY issued to: TIME OIL CO <br /> PO BOX 24447 <br /> _,EATTLE, WA 9=124 <br /> PERMIT TO OPERATE and ANh9_!AL PERMIT FEE PAYMENT: are NOT TRANSFERABLE <br /> and may be <br /> =USIJPENDEDI MEVI i'r•'..ED f OP cause . <br /> THIS FORM T BE DISPLAYED C[ 1'ICL%-- .t5Ly ON T14E PREMISES <br /> REGULATED FACILITY: :TACkTPCIT FOOD MART# Account IDI 4W090 <br /> 14000 E HJy 88 Facility ID; 00091 <br /> LOCKEFORD, CA 95237 Permit Printed: 03/02/92 <br /> BILLING ADDRESS+ JACKPOT FOOD MART# <br /> PC r BOX 24447 TERMINAL. ST <br /> SEATTLE, YA 90124-2447 <br />