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t SAN._ COUNTY PUBLIC HEAMR SERVICES <br /> PO BO • S'roCKTON, CA 95201-0388 • ONE (209) 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA HERRN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> . Tw n R I e FM a GR STS Tom . ���L.ITY <br /> Tani: Tai: Pernii. Annual Penit Fee Valid <br /> P/E Number_ Reczrd IC Number Capacity Contents Permit Status From To <br /> 2380 006 TA225946 004150 6,040 Unleaded 02 Conditional Permit 01/91/96 12131/95 <br /> 2Wj 407 TA,225907 4?)4151 5,404 Unleaded 02 Conditional Permit 01/411% 12/21/96 <br /> PERMIT CONDITIONS: <br /> 1) The PERMIT TO OPERATE. will become void if ANNUAL PERMIT Fees and SERVICE Fees are r,ot raid andlor the ii:_T syst.en(=_.) fail=_ <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 21 The PERMIT TO OPERATE is granted to the TAW, OWNER who accepts responsibility for aperatim and monitoring the UST system, <br /> according to State underground storage tank lavas and reTilat.ions as well as any conditions established by San Joaquin County. <br /> 3) The TA's' OPERATORS); if different from the tank owner, shall operate and monitor the UST system according to the 'ARITTEN <br /> OPERATING AGREEMENT required under Section 2SM, Chapter 6.7, Division 24, California Health and Safety Code. <br /> 4) The TANK I�41NER shall notify the Environmental Health Division of any Proposed change in aeration or owwrship of the UST <br /> System. <br /> S) Upon any chance ir; equipment, design or of this facility, the PERMIT TO OPERATE will be reviewed by tt,e <br /> Environmental Health Division. <br /> 5i A constructior, or removal pergit is required from the Environmental Health Division prior to any removal or <br /> change of UST system equipment.. <br /> 71) This PERMIT TO OPERATE shall rot be considered permission to violatk any existing 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 /> # # # # # # <br /> PERMIT TO OPERATE an UST FAULIPf issued to, COLLEGEVILLE MARKET & CAFE <br /> 13521 E MARIP?"_A RD <br /> :TtlraKJON, CA 9520.5 <br /> PERMITS TO OPERATE and ANNUAL. PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause . <br /> THIS- F' T BF DISPLAYM C NSPICi A—Y ON THE PREMISES <br /> # # # <br /> REGUI.ATED FA,^_.ILI i C:OL.LEGEVIL.LE MARF;:ET S< CAFE# Account. ID, 00014a; <br /> 135-21 E MARIPO'ISA PD Facility ID: 001457 <br /> '=TOCKTC1N, CA 95205 Permit Printed; 05/0ry.19G <br /> BILI ING ADDRE5'St <br /> COLL.EGEVITLLE MARI-::ET & CAFE# <br /> ATTNi C17+t_'_EGEVILLE MARKET & CAFE <br /> 1=,S21 E MARIPOC.'A RD <br /> STOC:KTi N , CA 9520.5 <br />