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_ SAN JO IN COUNTY PUBLIC HEALTHVICES <br /> 4"�iI <br /> 304 E.WEBER AVE. RD FLOOR • STOCKTON,CA 95202 • WE(209)468-3420 <br /> KAREN FURST,M.D,M.P.H., HEALTH OFFICER <br /> DONNA HERAN,R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> CIFSQA TINGPER31"II' � "1.= STMAW W T. . FACILITY <br /> Tank.. Tank Permit Annual Permit. Fee Valid <br /> P,E Number Record ID Number Capacity Contents Permit. Status From To _ <br /> 2360 000 TA140105 0*4348 10,OL? Unleaded 01 Active Permit. 61!011,96 112!311981 <br /> 239, (*15 TA140106 (K)4349 10,NO Unleaded 01 Active Permit- 01,01,3' 12,31158 <br /> 2360 007 TA140107 0:)43750 10,000 Unleaded 01 Active Permit 01101,98 12,311F3 <br /> I <br /> PERMIT CONDITIONS: <br /> I) Tile PERMIT TO OPERATE will become void if ANNUAL PERMIT Fees and SERVICE Fees are not paid and/or the U:--",T system(s) fails <br /> to remain in compliance with the PERMIT CONDITIONS. <br /> 2) The PERMIT TO OPERATE is granted to the TANK OWNER 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 TA—W. OPERATORfS?, if different from the tank owner, shall operate and monitor the UST system according to tt* WRITTEN <br /> OPERATING AGREEMENT required under Section 2.253, Chapter 6.7, Division 20, California Wealth and Safety Code. <br /> 4) The TANK: OWNER shall notify the Environmental Health Division of any pr•c-T-osed change in aeration or ownership of the 'LET <br /> system. <br /> 5) Upon any change in e-wipment, 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 the Environmental Health Division prior to any removal of- <br /> change of !rST 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 or local agencies. <br /> PERMIT TO OPERATE an UST FACILITY issued to; CIRCLE.. K STORE.Z. .T NC.: � <br /> PO BOX S201EIS <br /> PHOENIX , AZ SS07:2 � <br /> PERMITS TO OPERATE and ANNUAL PERMIT EEE PAYMENTS' Tore NOT TRANSFERABLE j <br /> c .iE�a t _ _ - ENCEC cop REVOKED f c-_ cause . <br /> THIS F&MM MUST BE DISPLAYED CUW!3P'IC0i I. ' ON THE PREMISES <br /> REGULATED FACILITY; CIRCLE K STORES INC' #5450;0 Account ID; 0607834 <br /> 950 itis 11TH Facility IN 006-M <br /> TRACY , CA 9S376 Permit Printed,, 03,02,98 <br /> BILLING ADDRESS, CIRCLE K STORES <br /> ATTN, LARRY S I L_VA <br /> 950 W 11TH <br /> TRACY , CA 9S376 <br /> sof, <br />