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^w <br /> SAN JOMVJIN COUNTY PUBLIC HEALRVICES <br /> P O Box 388W STocKToN, CA 95201-0388 • PHo (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 /> E , TI JF IT FOR iftERGROkkiD ST("46E TAW F ACILYTY <br /> Tank Tar. Permit Annual Permit Fee Valid <br /> P/E Number Record ID Number Capacity Contents Permit Status From To <br /> 2360 009 TA505287 007865 2,0Other 01 Active Permit 01/01/96 12/31/96 <br /> 2360 009 TA,5&5286 007866 5,000 Other 01 Active Permit 01/01/96 12/31/96 <br /> 2360 008 TA505285 007867 5,000 Other 01 Actiye Permit 01/01/96 12/31/96 <br /> -7 IV- 007 TAS05284 007M 121000 Unleaded !'tive Permit 01/01/% 12/31/36 <br /> PERMIT CONDITIONS: <br /> 1) The PERMIT TO OPERATE will become void if ANNAL PERMIT Fees and SERVICE Fees are not paid ardor the irST system(sl fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TAW OWNER who accepts responsibility for operating and monitoring the LIST system <br /> according to State underground storage tank laws and regulations as well as any conditions established by '-gin Joaquin County. <br /> 3) The TW, OPERATOR(S). if different from the tank owner, shall operate and monitor the UST system according to the WRITTEN <br /> OPERATING AGREEMENT required under Section 25293, Chapter 6.7, Division 20, California Health: and 'Safety Code. <br /> #) The T6 OWNER shall notify the Environmental Health Division of any proposed chane in operation o-r ownership of the UST <br /> system. <br /> 5) than any change in equipment, design or operation of this facility, the PERMIT TO TATE will be reviewed by the <br /> Environmental Health Division. <br /> 6) A construction or removal permit is required from the Environmental Health Division prior to any removal or <br /> change bf UST system equipment. <br /> 7) This PERMIT TO OPERATE shall riot be considered permission to violate any existing laws, ordinances oe statutes of other <br /> federal, state or local agencies. <br /> e <br /> PERMIT TO OPERATE an UST FACILITY issued to: ARCO MINI MART <br /> 4S11 PACIFIC: AVE <br /> STOCKTON, CA 96207 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are: NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> THIS FORM MUST BE DISPLAYED CtNSPICWJSLY ON THE PREMISES <br /> REGULATED FACILITY: ARCO M I N I MART h DELI Account ID: 0004647 <br /> 4531 PACIFIC AVE Facility ID; 002480 <br /> STOCKTON, CA 9S207 Permit. Printz-v,. OS/02/96 <br /> BILLING ADDRESS: <br /> ARCO MINI MART & DELI <br /> A.TTN: GI1_, DALJIT <br /> 4511 PACIFIC: AVE <br /> STOCKTON, CA 9S207 <br />