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SAN JOAQ]� COUNTY PUBLIC HEALTH SE CES <br />304 E. WEBER AVE., T , FLOOR • STOCKTON, CA 95202 • PHa _ 209) 468-3420 <br />KAREN FURST, M.D., M.P.H., HEALTH OFFICER <br />DONNA HERAN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br />ENVIRONMENTAL HEALTH <br />C4-RoATIWa PERMIT .o',_OR STOIPA.GE TAIN FACILITY <br />P%E <br />Tank <br />NL%ber <br />Tank: <br />Record M <br />360 <br />001 <br />TA5O58r8 <br />AGO <br />002 <br />TASO5969 <br />r)36} <br />(�3 <br />TAS05870 <br />_;60 <br />004 <br />TA505871 <br />Permit <br />008638 20,OOQ Reg !!'nleaded <br />008639 20,070 Midgrade Unleaded <br />018640 20, NO Prem Unleaded <br />N%41 12,000 Diesel <br />01 Active Permit <br />01 Active Permit <br />01 Active Permit <br />0i Active Permit <br />Annual Permit Fee Valid <br />10/19/98 12131/% <br />10/19/92 12131/98 <br />10,14/93 12/31/98 <br />PERMIT CONDITIONSi <br />1) <br />The PERMIT TO OPERATE will become void if ANMUAL PERMIT Fees and SERVICE Fees are not paid and/or the Ll system(s) fails <br />to remain in compliance with the PERMIT CON'UITIOM'3. <br />2) <br />The PERMIT TO OPERATE is granted to the TANK OWNER who accepts responsibility for operating and monitoring the UST system <br />according to State underground storage tank laws and regulations as wail as any conditions established by San Joaquin County. <br />3) The TANK. OPERATOR(S), if different from the tank owner, shall -7,erate and monitor the UST system according to the 41RITTEN <br />CPERATIMO AGREEMENT rewired under Section 25293, Chapter 6.7, Division 20, California Health and Safety Code. <br />4) The TANK DOER shall notify the Environmental Health Division of any proposed change in operation or ownership of the UST <br />system. <br />5) t!pon any change in equipment, design or operation of this facility, the PERMIT TO OPERATE will be reviewed by the <br />Environmental Health Division. <br />61 A construction or removal permit is required from the Environmental Health Division prior to any removal or <br />change of UST system equipment. <br />7) This PERMIT TO OPERATE shad not be considered perolission 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; C IST! IMER CCI, THE <br />4457 PARK RD <br />BENICIA, CA =,:.5111 <br />PERMITS TO OPERATE and ANN!JAL PERMIT FEE PAYMENT' are NOT TRANSFERABLE <br />and rr,ay h,e =.UPENDED or REVOKED fcir cause. <br />THUS FORM MUST BE DISPLAYED CtINSPIM A-USLY ON T14E PREMISES <br />rEGv-ATTOFACILITYi .5L!F'ER CHEAPER #iO.E <br />191' 1 ATHROFJ RD <br />LATHROP , CA 9-S330 <br />F:iL iM ADDRESS: SUPER CHEAPER #104 <br />ATTN: THE Cal'=;TRIMER CO <br />PCI BOX 88'6 <br />BENIC:IA, CA X4510 <br />Account ID: Ce}10198 <br />Facility IDI 001059 <br />Permit Printed; 10/23f% <br />0 <br />