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SAN JO�USCOUNTY PUBLIC HEALTH AES <br /> 304 E.WEBER AV ., HIR LOOR • STOCKTON,CA 95202 N 09)468-3420 <br /> KAREN FURST, M.D., M.PII., HEALTH OFFICER <br /> DONNA RERAN,R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> gP99,,A7TrmG !PEia!Mltl' IFIGS' 4iGsvteFL 'ti;TP 1Ei 4r1a�";: FACILITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> P/E Number Record ID Number Capacity Contents Permit Status From; To <br /> 2380 004 TA146504 004473 12,000 Unleaded 02 Conditional Permit 01101/'K 12/31/53 <br /> 2380 005 TA146SOS 004403 10,000 Unleaded 02 Conditional Permit 011/01/98 12/31/98' <br /> 77..80 006 TA146%6 (1)4485 8,000 Unleaded 02 Conditional Permit 01/01/98 12/31/9x' <br /> PERMIT CONDITION'_I <br /> 1) The PERMIT TO OPERATE will become olid if ANNUAL PERMIT Fees and SERVICE Fees are not. paid andior the UST sy5tem(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) 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 well as any conditions established by Sar Joaquin County. <br /> 3) The TANK 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 TAW( OWNER shall notify the Environmental Health Division of any proposed change in operation or ownership of the LFST <br /> system. <br /> 5) Upon any change in equipment, design or aperaiicm 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 /> 7) 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 /> 81 A "Conditional Permit" may be revoked if corrections are not completed by the dates) specified on inspection. <br /> PERMIT TO OPERATE an LAST FACILITY issued to; TIME 0 I L CO <br /> 27:=7 W COMMADORE WAY <br /> SEATTLE, WA 98199 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENT'S are NOT TRAN=:FERABLE <br /> and rt!a x be SUSPENDED cop REVOKED for cause . <br /> THIS P5P" 1I97IDIS 'LAVED 'DOW—PICIUADJOSILi Vr' CO# 1!lH SII SES <br /> REGURATED FACILITY; JACKPOT FOOD MART* Account. ID; 0)8444 <br /> 1434 W YOSEMITE AVE Facility IN 003139 <br /> MANTECA, CA 963156 Permit. Printedt 03/01/98 <br /> BILLING ADDRESS; TIME I-I T L CC' <br /> ATTN : MIKE PAISLEY <br /> 27=:7 I,) COMMODORE WAY <br /> SEATTLE ..,.4d �IB 199-1. <br /> 41 <br />