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SAN JUIN COUNTY PUBLIC IIEALTI�RVICFS <br /> P O Box 3 STocETON, CA 95201-0358 • PHONE (209) 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA HERRN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> OPERATING PERMIT FOR ONDERGROUND (L iiAGE i ANk 1=AC I L I TY <br /> Tank Tank Permit. Annual Permit Fee Valid <br /> PIE Number Record ID Naber Capacity Contents Permit Status _ From To _ <br /> "[38(x iY — TAi631G4 (x74191 12,GtW Unleaded 01 Active Permit 01/011% 12/31/36 <br /> 2,V) 005 TAIG3105 004142 101000 Unleaded 01 Active Permit 01/01/96 12131/96 <br /> 23p poi TA163106 004143 8,0(K� Unleaded 01 Active Permit 01(01/36 12/31196 <br /> PERMIT CONDITION'S; <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) fails <br /> to remain i:; compliance with the PERMIT CONDITIONS. <br /> 21 The PERMIT TO OPERATE is granted to the TANK OWI'(ER who accepts .responsibility for operating and monitoring the UST system <br /> according to State underground storage tart, laws and regulations as well as any conditions established by San Joaquin G.urtY. <br /> 3i The TAN, OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING AGREEMENT required under Section 25293, Chapter 6.7; Division 20, California Health and Safety Code. <br /> 4) The TANK OWiER shall notify the Environ:rental Health Division of any Proposed change in operation or ownership of the UST <br /> system. <br /> 5) Upon any change in equipment, 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 /> 71 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 /> PERMIT TO OPERATE an UST FACILITY issued to; TIME OIL CO <br /> PO BOX 24447 <br /> ;:EATT!_E, WA 98124 <br /> PERMIT'S TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause . <br /> THISFgMMjST BE DISPLAyEI? GC ICA834.1 LY ft10 THE PPEINISES <br /> REGULATED FACILIT'l: JACKPOT FOOD MART Account 10, 00000,30 <br /> 14000 E HWY 88 Facility ID: 000091 <br /> LOCKEFORD, CA 95237 Permit Printed; OS/02!/96 <br /> BILLING ADDRESS; <br /> 3ACKPOT FOOD MART <br /> PO BOX 24447 TERMINAL_ ST <br /> =,EATTL.E , WA QSi24-244.7 <br />