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SAN JMPUIN COUNTY PUBLIC HEALWOSERVICES <br /> P O Box JWO STOCKTON, CA 95201-0388 • PW (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 /> OPERATING PERMIT FOR UNDERGROUND STORAGE TANK FACILITY <br /> Tari: Tank Permit Annual Permit Fee Valid <br /> P/fr Record ID Nor Capacity Contents Permit Status From To <br /> 2 0 W— T-WO 7 00 2, .Df _01 Active Permit 411 13 12/31/95 <br /> 2360 009 TA505206 007%6 5,000 Zw <br /> 01 Active Permit 01/01/95 12/31/95 <br /> + <br /> 2360 TA,505285 007867 5,000 01 Active Permit 0#'01/35 12/31195 <br /> 2360 007 T4505'284 007868 12,000 Unleaded 01 Active Permit 01/01/95 12/31/95 <br /> PERMIT CONDITIONS: <br /> 1) The PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and MICE Fees are not paid and/or the L►'vT system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TAW OWER 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 /> The TAW 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 TANK OWNER shall notify the Environmental Health Division of any proposed change in operation or ownership of the UST <br /> system. <br /> Upon any change in equipment, design or operation of this facility, the PERMIT TO CRATE will be reviewed by the <br /> Environmental Health Division. <br /> A construction or removal permit is required from the Environmental Health Division prior to any removal or <br /> change of UST system equipment. <br /> F) This PERMIT TO OPERATE shall not be considered permission to violate any existing laws, ordinances or. statutes of other <br /> federal, state or local agencies. <br /> hi.i e0 (ffMTE an UST FACILITY issued to; ARCO MINI MART <br /> 4511 PACIFIC AVE <br /> 9TOC KTON, ,CA 9S2O7 <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> THIS FOM HUST BE DISPLAYED Com'IC JSLY ON I'HE: PREMISES <br /> REGULATED FACILITY: ARCO MINI MART 6 DELI Account IGS; 0004.647 <br /> 4511 PACIFIC AVE Facility ID; 00'2` .80 <br /> STOCKTON, CA 95207 Permit Printed-, 08/ l i/9S <br /> BILLING ADDRESS: <br /> ARCD MINI PART h DELI <br /> ATTN; GIL, DALJIT <br /> 4511 PACIFIC AVE <br /> . TOC KTON, CA 95207 <br /> i <br />