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SAN JOAQdp COUNTY PUBLIC HEALTH SWCES <br /> P O Box 388 *ImSTocKToN, CA 95201-0388 • PnoNE (209) 46&3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> T NG PERIMIT FLS � Utt STGRAM&F TAW, }Af TLi;- <br /> re .at Annual Permit Fee Valid <br /> P/E Number Resor-U 14 Num�wr Capacity Contents Permit Status Gr;m To <br /> [i"o4 441 TA161201 0(it747 9,Ido Unleaded 42 Ccmdit.ionai Fe'rmit 01 int/yh 12131,1962384 02 TAib1202 005748 8,101 Unleaded 02 Conditional Permit All 11 "4b 12%31/'.+5 <br /> 2380 (y)3 TA 1612031 001749 8,101 Unleaded 02 Conditional Permit Oliitl;9E 121,'119 <br /> PERMIT CONDITIONS; <br /> 1) The PERMIT TO ;ITERATE will become void if ANNUAL PERMIT Fees and FRVICE Fees are not Paid andjor the UST system's) fails <br /> to remain in C%Pliance with the PERMIT CONDITICUS. <br /> 2) The PERMIT TO OPERATE is granted to the TAW LWIR who accepts raspoosibility for c9eratin, and monitoring the UST system <br /> according to State underground storage tangy laws and reaalations as well as any Conditions established by San Jnacmin County. <br /> 3) The TAW APER.ATOR(S), if different from the tank owner, shall operate and moniiur the UST system according to Uig- Md'TTTEN <br /> OPERATING AGREEME.'HT required under Section 25293, Chapter 6.7, Division A), California Health and Safety Cede <br /> 4) The TAW NNER shall notify the Environmental Health Division of any prop%ed change ir! operation Cir ownaiship of t ,e ^i <br /> s;stem. <br /> �) iK,Drr ary change in equipment, design • r oPeration of this facility, the PERMIT T4 C"'ERATE will be reviewed by ttN <br /> Envirorarental Health Division. <br /> 6i A construction or rcrmoval Permitis required from the Environmental 'ealth Division Prior t-0 any removal or <br /> change of UST system equipment. <br /> 'i 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 /> -. A "Conditional Permit." may be revoked if carrectiorr are oat completed by the date(s) specified on inspection. <br /> PERMIT TO CrPERATE an UST FACILITY issued to: BAGL.ETTA, RAY g, FRANK RAUZI <br /> tr 1 _ AURARA <br /> STOCKT0N, C:A 5 2C)-3 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE P'AYMENT'S are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause . <br /> THIS FL-fivi NLR&T BE DISPLAYEDICCiL SL. C04 T"E PREMISES <br /> REGULATED FACILITY; _FEEDY FOOD #2# Account ID; 000.2f-S02 <br /> 8200 N HWY 9= Facility ID; 0(y--y,7 <br /> STOC:k:.TON, CA 9S2 1'2' Permit Printed; IISlC12r9F. <br /> BILLIMG ADDRESS; <br /> c"PEEDY FOOD # :4: <br /> ATTN ; TULEBURG WAREHOUSE <br /> 301 : AURORA <br /> _T!-rC:i<'TON, CA 9.S203, <br />