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SAN j&QUIN COUNTY PUBLIC HEALSERVICES <br /> t <br /> poBOX3W • SToCKTON, CA 95201-0388 • PMME (209) 468-3420 <br /> ERNEST M. FUIIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA HERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> oTI?,ani PEWIT C& .4mMGW ND STIP TAW FACILITY <br /> Tank TarA' Permit Annual Permit Fee Valid <br /> P!E Number Record ID Nuhter Capacity Contents Permit Status From To <br /> 4,380 001 TA119101 VS103 3,0(x) Leaded G2 Conditional Permit iiPOI/'a6 12/31/96 <br /> 7330 002 TA1191G2 (*S110 10,00;,, Unleaded 02 Conditional Permit. 01/01/'3-. 12/31/96 <br /> 2 3G 003 TA119103 605111 8'(" Diesel 02 Conditional Permit 01/01/96 12/31/46 <br /> PERMIT CONDITIONS: <br /> The PERMIT TO OPERATE. will become void if ANNUAL PERMIT Fees and SERVICE Fees are not paid andior the UST systems) fails <br /> +n remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TANK C11AER who accepts responsibility for operating and monitoring the VST system <br /> according to State underground storage tank laws and relations as well as any conditions established by van Joaquin County. <br /> 3) The TANK OPERATOR(S), if different from the t,60. owner, shall operate and rt�nitor the (IS, system according to the VRITTEN <br /> OPERATING AGREEMENT required under vection 252x3, Chapter 6.7, Division 20, California Health and Safety Code. <br /> 4) The TANK O'VNER shall notify the Environmental Health Division of any proposed charge in operation or ownership of the UST <br /> system. <br /> 5) ('poi: 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 Perriat is required from the Environscntal Health Division prior to any remove or <br /> change of UST system equiprvent. <br /> 7) This PERMIT TO OPERATE shall not be considered per-mission to violate any existing laws, ordinances or statutes of ether <br /> federal, state or local agencies. <br /> 8) A "Conditional Permit" may he revoked if corrections are not cor leted by the date(s) specified on inspection. <br /> PERMIT TO OPERATE an ("3T FACILITY issued to; LOCAL FOOD STORE #1 <br /> .,E,So MOUNT DIABLO ST <br /> S;T OCK:TON, CA 3J;20 <br /> PERMIT'S TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> ai id may be SUSPENDED or REVOKED for cause . <br /> THIS Fc I" .g.T BE DIS #Y� (,ON>�''ICUL CN THE F1dEI�ISEs <br /> REstLATED FACILITY; LOCAL FOOD STORE #1 Account ID; 0003424 <br /> 2bSo MONTE DIABLi± ST Facility 1D; Cair__: E, <br /> STOC:KTON , CA 91;2n_ Permit Printed; 02196 <br /> FILLING ADDRESS; <br /> LC1r;r+L 190,1-0 =:Ti iRE #1 <br /> ATTN ; HAMEED KHAN <br /> 2,6.60 MONTE DIABl..O ST <br /> :=;T 1C1;TiJf! CA 35— : <br /> 0 <br />