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SAN J- �,QUIN COUNTY PUBLIC HEALT - SERVICES <br /> P O Box Sas • S wKToN, CA 95201-0388 • P019KE (209) 468-3420 <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 /> CIPFR4TING PENT FOR kONDERGRILOLWO STOIFbAGE TAW: FACILITY <br /> Tank Tar* Permit Annual Permit Fee Valid <br /> P!E Nir,Rber Record ID M.Rmber Capacity Cintents Permit Status From To <br /> 2380 001 TA168601 004136 10,MO Unleaded 01 Active Permit 01101/95 11131/95 <br /> 1330 001 TA163501 004137 450Ot Active Permit 01/0165 11131!45 <br /> PERMIT CONDITIONS: <br /> 11 TFe PERMIT TO OPERATE will become void if AWA, PERMIT Fees and SERVICE Fees are not paid and/or the UST system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TANK DAER 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 TANK OPERATOR(S), if different from the tank owner, shall operate and monitor the UST system aCEordim to the WRITTEN <br /> MATING AGREEMENT required under Section 2621PI Chapter 6.7, Division 20, California Health and Safety Code. <br /> 4) The TANK OWNER shall notify the Environmental Health Division of any proposed change in operation or ownership of the t)qT <br /> system. <br /> 5) 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 /> 6) A construction or removal permit is required from tt±e 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 cr local agencies. <br /> PcJMIT TO OPERATE an UST FACILITY issued to; KARC:HER, CARL ENT <br /> GOO MELLON AVE <br /> MANTECA , CA 9.53:3~, <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE: PAYMENT'S are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause . <br /> } # # � #' <br /> THIS FORM MUST BE DISPLAYEED CONWICUOUSLY ON THE. PREMISES <br /> Ak <br /> RESUTED FACILITY: CARL KARCHER ENT Account. 10: 0003269 <br /> '�00 MELLON AVE Facility IO. 00?ti.91 <br /> MANTECA, CA 95:32E Peratt Printed! OS/11 /96 <br /> BILLING ADDRESS: <br /> C:AR1._ KARCHE:R ENT <br /> `y 1 V 'A : '�'ii''•�� KAR HER <br /> 800 MELLON AVE <br /> MANTECA , CA 9S3:36 <br />