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SAN JOA��I COUN'T'Y PUBLIC HEALTH Sy- VICES <br /> P O Box 388 • SroCWMN, CA 95201-0388 • PnoNE r2ft) 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DMSION <br /> ENVIRONMENTAL HEALTH <br /> OPERATING PERMIT FOR IMIDERG'{ D iND STORAGE TANK FACILITY <br /> Tank Tai Permit Annual Permit Fee 'Valid <br /> P/E Number Record ID hlmber Capacity Contents Permit Status From To <br /> TAO 001 T4133701 006703 10,000 Leaded Ol Active Permit 01/01!95 12/31/95 <br /> X'so W2 TAIYNO2 076750 10,000 Unleaded 01 Active Permit 01/01/95 12/31/95 <br /> 073 TA133703 006751 10.070 Unleaded 01 Active Permit 01/01/95 12/31/95 <br /> PERMIT CONDITIONS; <br /> ii The PERMIT TO OPERATE will become void if ANNUAL PERMIIT Pees and =RVICE Fees are not paid and/or the UST system(c) fails <br /> ti remain in compliance with the PERMIT COMiDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TANK OWER who accepts responsibility for operating and monitoring the UST system <br /> according to State underground storage tark laws and regulations as well as any conditions established by San Joaquin County <br /> 3) The TANK OPERATOR(S), if different from the tarda owner, shall operate and monitor the UST system according to the WITTEN <br /> OPERATING AGREEMENT retired under Section 2.5293, Chapter 5.7, Division 20, California Health and Safety Cade. <br /> 4) The TAW 04Nd:R shall notify the Environmental Health Division of any proposed change in operation or ownership of the US- <br /> system. <br /> 5) Upon any change in A-wipment, 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 T&wui eo from the Environmental Health Division prior to any removal or <br /> chance of UST system equipment. <br /> ') This PERMIT TO OPERATE shall nut be considered permission to violate any existing laws, ordinances or statutes of other <br /> federal, state or local agencies. <br /> PERMIT TO OPERATE an lr_T. FACILITY issued t�j, C R !-;TAR INC <br /> 252.5 S HUTCHIN'=; #12 <br /> LODI , CA 35240 <br /> PERMITS TO OPERATE and ANNUAL. PERMIT FEE PAYMENT'S are NOT TRANSFERABLE <br /> and may he SUSPENDED or REVOKED for cause . <br /> fi <br /> T141S FORK MUST BE DISPLAYED C' ICt)6LiSL Y ON THE PREMISES <br /> REGULATED FACILITY; STAR MARKET #2 Account ID; 0000-=92 <br /> '525 S HUTC:HINS 412 Facility ID; 090'_94 <br /> LODI , CA 95240 Permit Printed; 0-:3.i i 1/95 <br /> BILL Iw3 r+T.�ESS; <br /> STAR MARKET #2 <br /> rTTN ; + :_;Wq INC <br /> 52.5 HU iC:=1I N: 12 <br />