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SAN JOAN COUNTY PUBLIC HEALTH SVI2 95468-3420 <br /> 304 E.WEBER AVE., HIRD FLOOR • STOCKTON,CA 95202 P ( ) <br /> KAREN FURST,M.D.,M.P.H.,HEALTH OFFICER <br /> DONNA RERAN R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> est" #TIIPiG F`EI IT FOR L Iai "YI? E•T4pA6E TANII FACILITY <br /> Annual Ferm,it Fee 'Jalid <br /> Permit From To <br /> Tank Tank: Permit Status 011USi'�9 12(31!89 <br /> Nx�er Record ID Nurser Capacity Contents 02 Conditional Permit <br /> 0 096 TA2258G6 0Gd150 8,0(u) Unleaded <br /> Y460 007 <br /> TA225907 004151 4,OK Prem Unleaded 02 Conditional Permit 01/01/99 1213119 <br /> ERMIT CONDITIONS; <br /> • The PERMIT TO OPERATE will t�?CC,mN void if ANNUAL PERMIT Fees and SERVICE Fees are net paid andior the tfST SYstemis) fa' <br /> to remain in compliance with the PERMIT COt1DIT?ONS. <br /> 2) The PERMIT TO OPERATE is granted to the TANK NNER wEw accepts responsibility fur nditio S alyd monitoring the a sys <br /> according to State urujergroLmd Storage tank laws and regulations as well as any conditions established by ,an Joaquin <br /> 3) The TANK. TE�RA.TTOR6), if differ <br /> funent der Section 2529,owner ptert617,oDivisiorate n 20.Californnitor iaUHealthST ta dem aSafetY c�e.the WF` <br /> OPERATING <br /> 4) The TANK i'GRRE MENT ratify the Environmental Health Division of any proper change in operation or ownership of i <br /> 5ystelh. f this facility, the PERMIT TO OPERATE will be reviewed by the <br /> 5) Upon any change in equipment, design or operation o <br /> Environmental Health Divlsian. <br /> 6) q construction or removal permit is rewired from the Environmental Health Division prior to any removal or <br /> change of UST system equ#pmeni. <br /> ',) This PERMIT TO OPERATE shalt not be considered permission to violate any e::<isting laws, ordinances or statutes a <br /> federal, state ar local agencies. <br /> 8) A `U nditional Permit" m!ay be rew_d.ed if corrections are not carmpleted by the datet5) specified on inspection. <br /> PERMIT TO OPERATE an UST FACILITY issued to; 1�S'21FE MARIPOSA RD <br /> '=:TCIC:KT0N, CA 95215 <br /> PERMITS TO OPERATE and ANNVAE_,PERMIT FEE REAYMENTf_are <br /> NOT TRANSFERO <br /> and May tCq <br /> ie # fr # " # 1 <br /> -MI F T BE DIS LAYEED Ci►i IC -Y ON TFiE PREMISES <br /> Account ID; 0001456 <br /> REGULATED FACILITY; COLLEGEVILLE h4ARk ET �, CAFErF Facility ID: 0014b7 <br /> 1:3521 E MARIPO' A RD Permit Printed) 04/26/99 <br /> STS!CKTON , CA 9520 <br /> BILLING ADDRESS' CLILLEGEVILLE MARKET 81 CAFE+ <br /> ATTN: PHILIP MATHEIJ <br /> 105'21 E LIAR I PO!=-,A RD <br /> :_TC!C:k::TC!N, CA 95205 <br /> 0 <br />