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SAN JOUIN COUNTY PUBLIC HEALTRVICES <br /> P O Box 388 • SroCKTON, CA 95201-0388 • PeONE (209) 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA RERANN, R.E.H..S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> FAR. MON1L \ 1AL ]HEALTH <br /> OPERATING PERMIT FOR UNDERGROUND STORAGE TANK FACILITY <br /> Tank Tank Permit Annual Permit Fee Valid <br /> P/E Number Record iD Number Capacity Contents Permit Status From To <br /> 2380 001 T4148901 0150::2 10,NO Unleaded 02 C,nditional Permit 01/01196 12/31/96 <br /> 2350 002 TA1489)2 00500+ 6,000 Diesel 02 Conditional Permit 01/01/96 12/31/96 <br /> 2380 003 TA148903 1XISO34 51000 Unleaded 02 Conditional Permit. 01/01/96 12131/96 <br /> PERMIT CONDITIONS: <br /> 1) The PERMIT TO OPERATE will becoime void if AMCAL PERMIT Fees and SERVICE Fees are not paid and/or the ANT system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is ;ranted 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 San Joaquin County. <br /> 3) The TANS: OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br /> CFERATIN$ AGREEMENT required under Section 25293, Chapter 6.7, Division 20, California Health and Safety Cade.* <br /> 4) The TANK OWNER shall notify the Environmental Health Division of any Proposed change in operation or ownership of the Ur-,T <br /> system. <br /> D Upon 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 shall not be considered permission to violate any existiN. 'laws: ordinances or statutes of other <br /> federal, state or local agencies. <br /> 8) A "Conditional Permit" may be revoked if corrections are not completed by the date(s) specified on inspection. <br /> PERMIT TOFERFTE an UST FACILITY i=_sued to: MINERVA, FRANC. C? BOURDON, AHN <br /> 14135 MAIN :3T <br /> ESCALON, CA 3532C1 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause . <br /> } # +p qt <br /> THIS F93"— MLPST DISPLAYED C ICtMOSLY ON THF PTZEM'aSES <br /> REGULATED FACILITY: Account. ID: 01C.'0316 <br /> Facility 1D; 000:30'3 <br /> -- _.__ '0 Permit Printed: C;Sj<) /96 <br /> BILLING ADDRESS: <br /> MCNENRY '=:TAT I ON b M I Pd I MART <br /> ATTN : MCtAENRY STATION b MINI MART <br /> 1405 MAIN ST <br /> ESCALON, CA '3S320 <br />