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CA Cert. No. 02181 <br /> vq <br /> � r <br /> 4 <br /> +Y <br /> An upgrade compliance certificate <br /> . . , . has been issued in connection with <br /> the operating permit for the <br /> facility indicated below. The <br /> certificate number on this facsimile <br /> matches the number on the <br /> certificate displayed at the facility. <br /> Instructions to the issuing agency: Use the space below to enter the following information in the format of <br /> your choice: name of owner; name of operator; name of facility; street address, city, and zip code of facility; <br /> facility identification number(from Form A);name of issuing agency; and date of issue. Other identifying <br /> information may be added as deemed necessary by the local agency. <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DIVISION <br /> Tank Owner: <br /> Tank Operator: DENNIS JACOBSEN FAMILY HOLDING <br /> Facility Name: SAFEWAY FUEL CENTER #1769 <br /> Facility Address: 2808 COUNTRY CLUB BLVD <br /> STOCKTON CA 95204 <br /> Facility ID#: PRO516736 <br /> Issue Date: 8/21/2001 <br />