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SAN JOCOUNTY PUBLIC HEALTH 304 E. WEBER AVE., FLOOR • STOCKTON, CA 95202 •ICV , 468-3420 •, KAREN FURST, M.D., M.P.H., HEALTH OFFICER DONNA HERAN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION ENVIRONMENTAL HEALTH C 'I TINS PE 4IT FER to )ERGFhXM STOR E: Tom:. 'FACILITY PERMIT CONDITIONS; li The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees arra SERVICE Fees are not paid and/or the UST system(s) fails to remain in compliance with tte PERMIT CONDITIONS. 2) The PERMIT TO OPERATE is granted to the TANK OWNER who accepts responsibility for operating and monitoring the UST system according_ to State underground storage tank laws and regulations as well as any conditions established by San Joaquin County. 3) The TANK OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system accordirrg to the WRITTEN OPERATING AGREEMENT required under Section 25293, Chapter 6.7, Division 20, California Health and Safety Cede. e) The TANK N14ER shall notify the Environmental Health Division of any proposed change in operation or ownership of the UST system. 5) tion any change in equipment, design or operation of this facility, the PERMIT TO OPERATE will be reviewed by the Environmental Health Division. 6) A construction or removal permit is required from the Ervirorgrlental Health Division prior to any removal or change of UST system equipment. 7) This PERMIT TO OPERATE shall not be considered permission to violate any existing laws, ordinances or statutes of other federal, state or local agencies. PERMIT TO OPERATE an UST FACILITY issued to; CU ;TOMER CO, THE 4.457 PARK RD BENICIA, CA 945IO PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE and may be SUSPENDED or REVOKED fQr cause. TNiI' I=L" MIST BE 0I�'LAyED CI�I£l��t Y T� PREMISES REGULATED FACILITY; SUPER CHEAPER ##1U4 19: LATHROP RD LATHROP, CA =+5=30 BILLINS ADDRESS; SUPER CHEAPER #104 ATTN; THE CUSTOMER CO PO BOX .86 BENICIA, CA '3451:1 Account ID; 0010198 Facility ID, 007059 Permit Printed; 04/26199 11 Tank Tank Permit Annual Permit Fee 'Valid pfE Number Record ID Number Capacity Contents Permit Status From To 2360 001 TA505868 008638 20,000 Reg Unleaded 01 Active Permit 01/01133 12131/93 2360 002 TA505869 008639 20,000 Midgrade Unleaded 01 Active Permit 01101/99 12/31/93 2360 003 TA505870 008640 20,000 Prem Unleaded 01 Active Permit. 01/01/99 12/31/`_i3 2360 004 TAS05871 008641 121000 Diesel 01 Active Permit. 01/01/99 12/31/99 PERMIT CONDITIONS; li The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees arra SERVICE Fees are not paid and/or the UST system(s) fails to remain in compliance with tte PERMIT CONDITIONS. 2) The PERMIT TO OPERATE is granted to the TANK OWNER who accepts responsibility for operating and monitoring the UST system according_ to State underground storage tank laws and regulations as well as any conditions established by San Joaquin County. 3) The TANK OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system accordirrg to the WRITTEN OPERATING AGREEMENT required under Section 25293, Chapter 6.7, Division 20, California Health and Safety Cede. e) The TANK N14ER shall notify the Environmental Health Division of any proposed change in operation or ownership of the UST system. 5) tion any change in equipment, design or operation of this facility, the PERMIT TO OPERATE will be reviewed by the Environmental Health Division. 6) A construction or removal permit is required from the Ervirorgrlental Health Division prior to any removal or change of UST system equipment. 7) This PERMIT TO OPERATE shall not be considered permission to violate any existing laws, ordinances or statutes of other federal, state or local agencies. PERMIT TO OPERATE an UST FACILITY issued to; CU ;TOMER CO, THE 4.457 PARK RD BENICIA, CA 945IO PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE and may be SUSPENDED or REVOKED fQr cause. TNiI' I=L" MIST BE 0I�'LAyED CI�I£l��t Y T� PREMISES REGULATED FACILITY; SUPER CHEAPER ##1U4 19: LATHROP RD LATHROP, CA =+5=30 BILLINS ADDRESS; SUPER CHEAPER #104 ATTN; THE CUSTOMER CO PO BOX .86 BENICIA, CA '3451:1 Account ID; 0010198 Facility ID, 007059 Permit Printed; 04/26199 11